Organization
AMERICAN SLEEP DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE ANN SHUFELDT (VICE-PRESIDENT)
(620) 251-7300
Entity
Organization
Contact information
Practice address
1411 W 4TH ST, SUITE F, COFFEYVILLE, KS 67337-3300
(620) 251-7300
(620) 251-7301
Mailing address
1411 W 4TH ST, SUITE F, COFFEYVILLE, KS 67337-3300
(620) 251-7300
(620) 251-7301
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118359
BCBS OF KANSAS PROV NUMBE
KS
Enumeration date
05/18/2006
Last updated
08/22/2020
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