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Organization
DIGITRACE CARE SERVICES, INC.
Active
Organization
DIGITRACE CARE SERVICES, INC.
Active
Other names
SleepMed
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA NAUFUL (VP COMPLIANCE & CONTRACTING)
(770) 309-2000
Entity
Organization
Contact information
Practice address
17001 SCIENCE DR, SUITE 109, BOWIE, MD 20715
(301) 731-7880
(301) 731-3775
Mailing address
200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
(978) 536-7400
(978) 535-9757
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071500009
—
MD
01
—
102822
KAISER
MD
01
—
135001
ANTHEM BCBS - PIN
MD
01
—
252927
MDIPA
MD
01
—
419630
CARE FIRST
MD
01
—
4900042
CAPITAL COMM HEALTH
MD
01
—
520537
CARE FIRST
MD
01
—
7618325
AETNA
MD
01
—
8011510
CIGNA
MD
01
—
85970001
CARE FIRST
VA
01
—
85970002
CARE FIRST
VA
01
—
85TZDI
CARE FIRST
MD
01
—
MT35
BCBS
MD
Enumeration date
08/08/2006
Last updated
08/22/2018
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