Organization
GULF COAST COMPREHENSIVE SLEEP MEDICINE CENTER
Active
Other names
Comprehensivie Sleep Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY MACK (OWNER TECHNICAL DIRECTOR)
(985) 764-1441
Entity
Organization
Contact information
Practice address
1972 ORMOND BLVD, SUITE B, DESTREHAN, LA 70047-3818
(985) 764-1441
Mailing address
1972 ORMOND BLVD, SUITE B, DESTREHAN, LA 70047-3818
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
LA
Other
Enumeration date
04/04/2007
Last updated
10/07/2011
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