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Organization
IDAHO SLEEP SERVICES, LLC
Active
Organization
IDAHO SLEEP SERVICES, LLC
Active
Other names
Idaho Sleep Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD J BEASLEY MD (MANAGER)
(208) 463-3000
Entity
Organization
Contact information
Practice address
7272 W POTOMAC DR, BOISE, ID 83704-9149
(208) 375-8222
(208) 375-8232
Mailing address
PO BOX 3291, SALT LAKE CITY, UT 84110-3291
(208) 375-8222
(208) 375-8232
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
ID
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
ID
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
02/11/2008
Last updated
02/03/2011
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