# DIAGNOSTIC SLEEP AND RESPIRATORY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diagnostic Sleep
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255528741
- **Authorized official:** MRS. DENA MARIE HACKWORTH-STOCKETT CRT,RPSGT (OWNER/ CLINICAL DIRECTOR)
- **Authorized official phone:** (520) 586-4729

## Contact information

- **Practice address:** 282 E 4TH ST, BENSON, AZ 85602-6612
- **Practice address phone:** (520) 586-4729
- **Practice address fax:** (520) 423-3977
- **Mailing address:** 282 E 4TH ST, BENSON, AZ 85602-6612
- **Mailing address phone:** (520) 586-4729
- **Mailing address fax:** (520) 423-3977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | 9504 | VA | Yes |

## Other

- **Enumeration date:** 09/27/2007
- **Last updated:** 03/18/2009