Organization Name: | TRI-STATE SLEEP STUDY LABORATORY |
NPI Number: | 1609814680 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY DEAN BAKER (EXECUTIVE DIRECTOR) |
Mailing Address: | 3765 Highway 64 E Alternate Suite #10 Murphy |
State: | NC US |
Postal Code: | 289066802 |
Phone Number: | 8288357002 |
Fax Number: | 8288357011 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 03/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |