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Organization
QRS LLC
Active
Organization
QRS LLC
Active
Other names
Cornerstone Diagnostic Sleep Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE MAE SCHIDER JD (MANAGING MEMBER)
(941) 624-0131
Entity
Organization
Contact information
Practice address
17218 TOLEDO BLADE BLVD., UNIT 7, PORT CHARLOTTE, FL 33954
(941) 624-0131
Mailing address
17218 TOLEDO BLADE BLVD., UNIT 7, PORT CHARLOTTE, FL 33954
(941) 624-0131
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
HCC8115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V3332
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/14/2008
Last updated
01/14/2009
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