institution
Idaho Diagnostic Sleep Lab, Inc.
Sleep Disorder Diagnostic Clinic/Center in Twin Falls, Idaho
NPI 1992850671

Idaho Diagnostic Sleep Lab, Inc. is a Sleep Disorder Diagnostic Clinic/Center based in Twin Falls, ID and is specialized in Sleep Disorder Diagnostic. Idaho Diagnostic Sleep Lab, Inc. practices in Twin Falls, ID. The NPI Number for Idaho Diagnostic Sleep Lab, Inc. is 1992850671 and holds a License No. 002743400 (Idaho).

The current practice location address for Idaho Diagnostic Sleep Lab, Inc. is 526 Shoup Ave W Ste C, Twin Falls, ID and can be reached out via phone at 208-736-7646 and via fax at 208-736-1569.

Location: 526 Shoup Ave W Ste C, Twin Falls, ID, 83301-5050
institution
Provider Profile Details
NPI Number
1992850671
Provider Name
Idaho Diagnostic Sleep Lab, Inc.
Credential
Provider Entity Type
Organization
Address
526 Shoup Ave W Ste C, Twin Falls, ID, 83301-5050
Phone Number
208-736-7646
Fax Number
208-736-1569
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85563 01 ID BLUE CROSS OF IDAHO
002743400 05 ID
P00091316 01 ID RAILROAD MEDICARE
000010000391 01 ID BLUE SHIELD OF IDAHO
institution
Provider Business Practice Location Address Details
Address
526 Shoup Ave W Ste C
City
State
Zip
83301-5050
Phone Number
208-736-7646
Fax Number
208-736-1569
person
Provider Business Mailing Address Details
Address
526 Shoup Ave W Ste C
City
State
Zip
83301-5050
Phone Number
208-736-7646
Fax Number
208-736-1569
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Sleep Disorder Diagnostic
Taxonomy
License No.
002743400 (Idaho)
Definition
Definition to come...
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