Organization
CENTER FOR CARDIAC SLEEP MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY GUIDRY (CEO)
(704) 815-7804
Entity
Organization
Contact information
Practice address
64040 HIGHWAY 434, SUITE 102, LACOMBE, LA 70445-3456
(985) 882-9200
(985) 882-9090
Mailing address
10720 SIKES PL, SUITE 300, CHARLOTTE, NC 28277-8141
(704) 815-7789
(888) 401-6931
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00350498
RR MEDICARE
LA
Enumeration date
04/18/2006
Last updated
08/07/2009
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