# SLEEP DISORDERS CTRS OF THE MID ATLANTIC LLC

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

## Provider details

- **NPI number:** 1871763490
- **Authorized official:** JAMES R PERLSTROM PHD (PRESIDENT)
- **Authorized official phone:** (703) 752-7881

## Contact information

- **Practice address:** 7513 PRESIDENTIAL LN, MANASSAS, VA 20109-2628
- **Practice address phone:** (703) 474-1191
- **Practice address fax:** (703) 286-7462
- **Mailing address:** 2235 CEDAR LN, SUITE 202, VIENNA, VA 22182-5202
- **Mailing address phone:** (703) 752-7881
- **Mailing address fax:** (703) 752-7880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | VA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | VA | — |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 10/16/2008