Organization
DIGITRACE CARE SERVICES INC
Active
Other names
SleepMed
Organization subpart
No
Provider details
NPI number
Authorized official
CARL IBERGER (EVP-CFO)
(978) 536-7400
Entity
Organization
Contact information
Practice address
21785 FILIGREE CT, SUITE 213, ASHBURN, VA 20147-6213
(703) 858-3711
Mailing address
200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
(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
—
85970001
CAREFIRST
VA
01
—
85970002
CARE FIRST
VA
01
—
85TZDI
CARE FIRST
VA
Enumeration date
07/24/2008
Last updated
06/18/2014
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