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Organization
AGILE DX
Active
Organization
AGILE DX
Active
Other names
US Sleep Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN MUILENBURG (PRESIDENT/CEO)
(253) 853-1712
Entity
Organization
Contact information
Practice address
3413 56TH ST NW, SUITE C, GIG HARBOR, WA 98335-8341
(253) 853-1712
Mailing address
5114 POINT FOSDICK DR NW # 440, GIG HARBOR, WA 98335-1733
(866) 304-5630
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
NULL
293D00000X
Physiological Laboratory
—
NULL
Other
Enumeration date
10/21/2009
Last updated
03/27/2012
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