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Organization
INNOVATIVE SLEEP DIAGNOSTIC SERVICES LLC
Active
Organization
INNOVATIVE SLEEP DIAGNOSTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GERARD GUILLOTTE (CEO)
(504) 833-4844
Entity
Organization
Contact information
Practice address
217 WALNUT STREET, UNIT B, METAIRIE, LA 70005
(504) 833-4844
(504) 833-4336
Mailing address
PO BOX 55101, METAIRIE, LA 70055
(504) 833-4844
(504) 833-4336
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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