Organization
SLEEP WAKE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES CANELAS (ADMINISTRATION)
(219) 554-4084
Entity
Organization
Contact information
Practice address
7217 INDIANAPOLIS BLVD, HAMMOND, IN 46324-2213
(219) 554-4084
(219) 554-4089
Mailing address
7217 INDIANAPOLIS BLVD STE B, HAMMOND, IN 46324
(219) 554-4084
(219) 554-4089
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
003720-35
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200804000A
—
IN
Enumeration date
05/18/2006
Last updated
04/28/2008
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