Organization
SMA SLEEP LAB DIAGNOSTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VAHAGN AVETISYAN (PRESIDENT)
(702) 333-0350
Entity
Organization
Contact information
Practice address
1408 S DECATUR BLVD, LAS VEGAS, NV 89102-8511
(702) 333-0350
(702) 333-0351
Mailing address
1408 S DECATUR BLVD, LAS VEGAS, NV 89102-8511
(702) 333-0350
(702) 333-0351
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2012
Last updated
05/24/2013
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