Organization
DREAM SLEEP TESTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DONAGHY CRT (OWNER)
(231) 642-5124
Entity
Organization
Contact information
Practice address
4439 PINE MEADOWS TRL, TRAVERSE CITY, MI 49685-7386
(231) 642-5124
Mailing address
4439 PINE MEADOWS TRL, TRAVERSE CITY, MI 49685-7386
(231) 642-5124
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
17293
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Z90246
BCBSM
MI
Enumeration date
07/31/2015
Last updated
02/10/2021
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