Organization
QRS LLC
Active
Other names
Cornerstone Diagnostic Sleep Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE MAE SCHIDER JD (MANAGING MEMBER)
(941) 624-0131
Entity
Organization
Contact information
Practice address
17218 TOLEDO BLADE BLVD., UNIT 7, PORT CHARLOTTE, FL 33954
(941) 624-0131
Mailing address
17218 TOLEDO BLADE BLVD., UNIT 7, PORT CHARLOTTE, FL 33954
(941) 624-0131
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
HCC8115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V3332
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/14/2008
Last updated
01/14/2009
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