Organization
SOUTHERN SLEEP CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J LABANOWSKI MD (OWNER MEDICAL DIRECTOR)
(334) 791-1700
Entity
Organization
Contact information
Practice address
210 N EDWARDS ST, ENTERPRISE, AL 36330-2506
(334) 393-0921
(334) 393-0922
Mailing address
210 N EDWARDS ST, ENTERPRISE, AL 36330-2506
(334) 393-0921
(334) 393-0922
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
Z1603
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51527354
BCBS AL
AL
Enumeration date
04/04/2007
Last updated
02/06/2012
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