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Organization

1ST CLASS SLEEP DIAGNOSTIC CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIKA KING (AUDITOR/COLLECTOR)
(571) 281-3553
Entity
Organization

Contact information

Practice address
14631 LEE HIGHWAY, SUITE 401, CENTREVILLE, VA 20121-5835
(703) 385-9222
(703) 385-0882
Mailing address
14631 LEE HIGHWAY, SUITE 401, CENTREVILLE, VA 20121-5835
(703) 385-9222
(703) 385-0882

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
1234748
VA
291U00000X
Clinical Medical Laboratory
107828
VA

Other

Enumeration date
10/27/2006
Last updated
03/03/2015
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