# OUR LADY OF LOURDES HOSPITAL AT PASCO DBA LOURDES SLEEP LAB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346279429
- **Authorized official:** MR. JOHN SERLE (PRESIDENT & CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (509) 543-2483

## Contact information

- **Practice address:** 520 N 4TH AVE, PASCO, WA 99301-5257
- **Practice address phone:** (509) 543-2483
- **Mailing address:** 520 N 4TH AVE, PASCO, WA 99301-5257
- **Mailing address phone:** (509) 543-2483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | H-022 | WA | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 08/22/2020