Organization
COASTAL SLEEP LAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK RIZZO (OWNER/MANAGER)
(843) 445-9700
Entity
Organization
Contact information
Practice address
4420 OLEANDER DR, MYRTLE BEACH, SC 29577-5720
(843) 445-9700
(843) 946-9460
Mailing address
4420 OLEANDER DR, STE 105, MYRTLE BEACH, SC 29577-5720
(843) 445-9700
(843) 946-9460
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PL0082
—
SC
Enumeration date
05/04/2006
Last updated
02/07/2012
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