Organization
SLEEPMED, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL R IBERGER (EVP-CFO)
(978) 536-6147
Entity
Organization
Contact information
Practice address
1210 BROADRICK DR, DALTON, GA 30720-2503
(978) 536-7400
Mailing address
60 CHASTAIN CENTER BLVD NW, SUITE 66, KENNESAW, GA 30144-5598
(978) 536-7400
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470001139
RR MEDICARE
—
Enumeration date
06/19/2007
Last updated
10/15/2009
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