Organization
SOUTHERN SLEEP CLINICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J LABANOWSKI M.D. (OWNER/MEDICAL DIRECTOR)
(334) 673-2501
Entity
Organization
Contact information
Practice address
2346 W MAIN ST, STE. 2, DOTHAN, AL 36301-1224
(334) 673-2501
(334) 673-2502
Mailing address
2346 W MAIN ST, STE. 2, DOTHAN, AL 36301-1224
(334) 673-2501
(334) 673-2502
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
12156
AL
293D00000X
Physiological Laboratory
Primary
11900
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51521455
BCBS AL
AL
Enumeration date
05/04/2006
Last updated
02/06/2012
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