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Organization
NORTH IOWA SLEEP LAB
Active
Organization
NORTH IOWA SLEEP LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD WAYNE WEAVER (OWNER)
(641) 424-0505
Entity
Organization
Contact information
Practice address
422 S PIERCE AVE, SUITE 103, MASON CITY, IA 50401-2709
(641) 424-0505
(641) 424-0505
Mailing address
422 S PIERCE AVE, SUITE 103, MASON CITY, IA 50401-2709
(641) 424-0505
(641) 424-0505
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F249988
MIDLANDS CHOICE
IA
Enumeration date
11/30/2006
Last updated
08/22/2020
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