# PROFESSIONAL HOME SLEEP STUDIES

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

## Provider details

- **NPI number:** 1659515930
- **Authorized official:** MRS. KELLY STREAT LASTINGER I (OWNER)
- **Authorized official phone:** (912) 384-8535

## Contact information

- **Practice address:** 75 DRAKE DR, DOUGLAS, GA 31535-7279
- **Practice address phone:** (912) 384-8535
- **Mailing address:** 75 DRAKE DR, DOUGLAS, GA 31535-7279
- **Mailing address phone:** (912) 384-8535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2009
- **Last updated:** 04/30/2009