Organization
MIDWEST SLEEP DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E. WALTON (PRESIDENT)
(636) 227-8787
Entity
Organization
Contact information
Practice address
13975 MANCHESTER RD, SUITE 9, MANCHESTER, MO 63011-4500
(636) 227-8787
(636) 227-8610
Mailing address
13975 MANCHESTER RD, SUITE 9, MANCHESTER, MO 63011-4500
(636) 227-8787
(636) 227-8610
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/10/2006
Last updated
04/04/2012
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