Organization
COMPLETE SLEEP ANALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY M JOHNSON (CREDENTIALING)
(909) 481-2577
Entity
Organization
Contact information
Practice address
16601 N 40TH ST, SUITE 115, PHOENIX, AZ 85032-3345
(602) 682-7630
(602) 682-7632
Mailing address
10532 ACACIA ST, SUITE B-4, RANCHO CUCAMONGA, CA 91730-5446
(909) 481-2577
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
OTC 4064
AZ
Other
Enumeration date
11/20/2006
Last updated
10/31/2008
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