Organization
SLEEP DISORDERS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN G PEMBER (CFO)
(317) 962-3164
Entity
Organization
Contact information
Practice address
3631 N. MORRISON ROAD, MUNCIE MEDICAL ARTS BUILDING, SUITE 101, MUNCIE, IN 47304
(317) 962-9303
Mailing address
950 N MERIDIAN ST, ATTENTION: ISADORE RIVAS, SUITE 1200, INDIANAPOLIS, IN 46204-1077
(317) 962-9303
(317) 962-1095
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
07/16/2007
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