Organization
COMPLETE SLEEP ANALYSIS LLC
Active
Parent organization
AVASTRAUSA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVASTRAUSA, INC.
Authorized official
MS. NANCY M JOHNSON (CREDENTIALING)
(909) 481-2577
Entity
Organization
Contact information
Practice address
5200 E CORTLAND BLVD, SUITE D-6, FLAGSTAFF, AZ 86004-9337
(928) 522-9053
(928) 522-9076
Mailing address
10532 ACACIA ST, SUITE B-4, RANCHO CUCAMONGA, CA 91730-5446
(909) 481-2577
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/12/2007
Last updated
10/31/2008
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