# SEMO QUALITY SLEEP LAB LLC

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

## Provider details

- **NPI number:** 1811144017
- **Authorized official:** JACKIE EATON (BILLING MANAGER)
- **Authorized official phone:** (615) 452-6794

## Contact information

- **Practice address:** 1417 N MOUNT AUBURN RD, STE C, CAPE GIRARDEAU, MO 63701-2171
- **Practice address phone:** (573) 888-6600
- **Practice address fax:** (573) 888-6655
- **Mailing address:** 1417 N MOUNT AUBURN RD, STE C, CAPE GIRARDEAU, MO 63701-2171
- **Mailing address phone:** (573) 888-6600
- **Mailing address fax:** (573) 888-6655

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2008
- **Last updated:** 08/28/2008