Organization
SLEEPEZ DIAGNOSTIC CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL R ROTHE (OWNER/PRESIDENT)
(540) 375-7735
Entity
Organization
Contact information
Practice address
1957 W MAIN ST, SALEM, VA 24153-3109
(540) 375-7735
Mailing address
1957 W MAIN ST, SALEM, VA 24153-3109
(540) 375-7735
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
0101230727
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10237467
—
VA
05
—
10242983
—
VA
01
—
188389
ANTHEM
VA
Enumeration date
05/20/2006
Last updated
08/22/2020
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