Organization
RICHLAND SLEEP LAB, INC
Active
Other names
Tri-Cities Sleep Disorders Center & Supply
Organization subpart
No
Provider details
NPI number
Authorized official
SAM W. POULIGNOT (BUSINESS MANAGER)
(509) 946-4632
Entity
Organization
Contact information
Practice address
7233 W DESCHUTES AVE, SUITE A, KENNEWICK, WA 99336
(509) 946-4632
(509) 943-9791
Mailing address
7233 W DESCHUTES AVE, SUITE A, KENNEWICK, WA 99336
(509) 946-4632
(509) 943-9791
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1065242
—
WA
Enumeration date
07/31/2006
Last updated
05/17/2017
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