Organization
AXG SLEEP DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON SAZAMA B.S.,RPSGT, RST (PRESIDENT/CEO)
(916) 502-0404
Entity
Organization
Contact information
Practice address
9727 ELK GROVE FLORIN RD, SUITE 160, ELK GROVE, CA 95624-2264
(916) 502-0404
Mailing address
9727 ELK GROVE FLORIN RD, SUITE 160, ELK GROVE, CA 95624-2264
(916) 502-0404
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
TGL 19
CA
Other
Enumeration date
10/20/2013
Last updated
10/20/2013
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