Organization
MOUNTAIN SLEEP LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALEXANDER DESCHWEINITZ (OWNER)
(541) 890-4462
Entity
Organization
Contact information
Practice address
1609 E BARNETT RD, MEDFORD, OR 97504-8284
(541) 245-9666
Mailing address
1609 E BARNETT RD, MEDFORD, OR 97504-8284
(541) 245-9666
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200932934
OR
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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