Organization
SLEEP DISORDERS CTRS OF THE MID ATLANTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R PERLSTROM PHD (PRESIDENT)
(703) 752-7881
Entity
Organization
Contact information
Practice address
10875 MAIN ST, SUITE 212, FAIRFAX, VA 22030-4732
(703) 877-2087
(703) 934-6690
Mailing address
2235 CEDAR LN, SUITE 202, VIENNA, VA 22182-5202
(703) 752-7881
(703) 752-7880
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
VA
332B00000X
Durable Medical Equipment & Medical Supplies
—
VA
Other
Enumeration date
03/10/2008
Last updated
10/16/2008
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