Organization
SLEEPMED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL R IBERGER (EVP-CFO)
(978) 536-7400
Entity
Organization
Contact information
Practice address
1333 TAYLOR ST, SUITE 5A, COLUMBIA, SC 29201-2923
(978) 536-7400
Mailing address
700 GERVAIS ST, COLUMBIA, SC 29201-3047
(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
—
2860012
AETNA HMO
—
01
—
4901253
CAROLINA CARE
—
01
—
7618325
AETNA PPO
—
01
—
S331800
CIGNA
—
Enumeration date
07/23/2007
Last updated
07/25/2007
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