Organization
MISSISSIPPI VALLEY SLEEP DISORDER CENTER LC
Active
Other names
MVSDC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANN CHAMBERLIN RN, BS (BUSINESS MANAGER)
(563) 322-2036
Entity
Organization
Contact information
Practice address
3385 DEXTER CT, STE 102, DAVENPORT, IA 52807-3471
(563) 344-6750
(563) 344-6751
Mailing address
1230 E RUSHOLME ST, STE 303, DAVENPORT, IA 52803-2400
(563) 322-2036
(563) 323-8240
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0427146
—
IA
05
—
0469411
—
IA
Enumeration date
02/20/2006
Last updated
05/02/2008
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