Organization
LION SLEEP LABS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BYRON K MARTIN (CO OWNER)
(618) 692-4945
Entity
Organization
Contact information
Practice address
1 GINGER CREEK PKWY, GLEN CARBON, IL 62034-3537
(618) 692-4945
Mailing address
1 GINGER CREEK PKWY, GLEN CARBON, IL 62034-3537
(618) 692-4945
(618) 692-4975
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006032060
BCBS OF IL
—
01
—
124960
BCBS OF MO
—
01
—
38314
GHP
—
01
—
40878
HEALTHCARE USA
—
01
—
421849284002
TRICARE
—
01
—
421849284003
TRICARE
—
01
—
432677
HEALTHLINK
—
01
—
470000719
MEDICARE RAILROAD
MO
Enumeration date
10/24/2006
Last updated
04/04/2013
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