Organization
DIGITRACE CARE SERVICES INC.
Active
Other names
Sleepmed Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CARL R IBERGER (EVP-CFO)
(978) 536-7400
Entity
Organization
Contact information
Practice address
11874 SUNRISE VALLEY DR, SUITE 100, RESTON, VA 20191-3323
(703) 476-6690
Mailing address
200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
(978) 536-7400
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292359
MDIPA
VA
01
—
419630
CARE FIRST
MD
01
—
520537
CARE FIRST
MD
01
—
659561
SOUTHERN HEALTH
VA
01
—
85970001
CARE FIRST
VA
01
—
85970002
CARE FIRST
VA
01
—
85TZDI
CARE FIRST
MD
Enumeration date
04/24/2007
Last updated
06/27/2014
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