Organization
AMBULATORY EEG RECORDINGS LLC
Active
Parent organization
AMBULATORY EEG RECORDINGS LLC
Other names
The Sleep Center at Lakeside
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMBULATORY EEG RECORDINGS LLC
Authorized official
LESLIE K CHASE (CEO)
(262) 241-1701
Entity
Organization
Contact information
Practice address
10325 N PORT WASHINGTON RD, SUITE #150, MEQUON, WI 53092-5764
(262) 241-1701
Mailing address
PO BOX 170602, MILWAUKEE, WI 53217-8051
(262) 241-1701
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
261QS1200X
WI
Other
Enumeration date
09/11/2008
Last updated
12/11/2008
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