Organization
UTICA SLEEP LABORATORIES
Active
Other names
Utica Home Sleep Testing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER SHANE ALONSO (PRESIDENT)
(918) 508-4388
Entity
Organization
Contact information
Practice address
2812 RICE ST, PONCA CITY, OK 74604-1921
(918) 508-4388
Mailing address
2812 RICE ST, PONCA CITY, OK 74604-1921
(918) 508-4388
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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