Organization
SEMO QUALITY SLEEP LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE EATON (BILLING MANAGER)
(615) 452-6794
Entity
Organization
Contact information
Practice address
1417 N MOUNT AUBURN RD, STE C, CAPE GIRARDEAU, MO 63701-2171
(573) 888-6600
(573) 888-6655
Mailing address
1417 N MOUNT AUBURN RD, STE C, CAPE GIRARDEAU, MO 63701-2171
(573) 888-6600
(573) 888-6655
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2008
Last updated
08/28/2008
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