# NUTMEG SLEEP LAB

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

## Provider details

- **NPI number:** 1891016176
- **Authorized official:** MAHMOOD HASAN YEKTA M.D. (OWNER)
- **Authorized official phone:** (860) 528-7161

## Contact information

- **Practice address:** 478 BURNSIDE AVE, EAST HARTFORD, CT 06108-2406
- **Practice address phone:** (870) 528-7161
- **Practice address fax:** (860) 528-7163
- **Mailing address:** 478 BURNSIDE AVE, EAST HARTFORD, CT 06108-2406
- **Mailing address phone:** (870) 528-7161
- **Mailing address fax:** (860) 528-7163

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2010
- **Last updated:** 06/21/2010