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Organization
HOME SLEEP LAB LLC
Active
Organization
HOME SLEEP LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE RUSSO GREGORY (OWNER)
(760) 497-5089
Entity
Organization
Contact information
Practice address
1583 HAWK VIEW DR, ENCINITAS, CA 92024-1274
(760) 497-5089
Mailing address
1583 HAWK VIEW DR, ENCINITAS, CA 92024-1274
(760) 497-5089
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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