Organization
ADVANCED SLEEP AND GASTROENTEROLOGY LABORATORIES,INC.
Active
Organization
ADVANCED SLEEP AND GASTROENTEROLOGY LABORATORIES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SAM DAVIDSON MD (CEO)
(209) 751-7165
Entity
Organization
Contact information
Practice address
4206 TECHNOLOGY DR STE 2, MODESTO, CA 95356-8769
(209) 492-0735
(209) 579-2354
Mailing address
262 BURGENLAND AVE, TURLOCK, CA 95382-0343
(209) 751-7165
(209) 579-2354
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up