| Organization Name: | MCDOWELL PROFESSIOAL SLEEP LAB |
| NPI Number: | 1417088741 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNIE L PYSZ (OWNER) |
| Mailing Address: | Route52 Main Street Welch |
| State: | WV US |
| Postal Code: | 24801 |
| Phone Number: | 3042287735 |
| Fax Number: | |
| NPI Enumeration Date: | 03/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246Z00000X |
| License Number: | 2001-0013 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |