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Organization
CENTER FOR CARDIAC SLEEP MEDICINE LLC
Active
Organization
CENTER FOR CARDIAC SLEEP MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY GUIDRY (CEO)
(704) 815-7804
Entity
Organization
Contact information
Practice address
64040 HIGHWAY 434, SUITE 102, LACOMBE, LA 70445-3456
(985) 882-9200
(985) 882-9090
Mailing address
10720 SIKES PL, SUITE 300, CHARLOTTE, NC 28277-8141
(704) 815-7789
(888) 401-6931
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00350498
RR MEDICARE
LA
Enumeration date
04/18/2006
Last updated
08/07/2009
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