| Organization Name: | ATLANTIC SLEEP DISORDERS CENTER LLC |
| NPI Number: | 1255654877 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID LAWRENCE (OWNER) |
| Mailing Address: | 9657 S Ocean Hwy 17 Ste 4b Pawleys Island |
| State: | SC US |
| Postal Code: | 295857425 |
| Phone Number: | 8432359831 |
| Fax Number: | 8432359853 |
| NPI Enumeration Date: | 03/10/2010 |
| NPI Last Update Date: | 03/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 293D00000X |
| License Number: | 3431 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Laboratories |
| Taxonomy Classification: | Physiological Laboratory |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |