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Organization

SLEEPWELL PARTNERS, LLC

Active
Other names
CardioSom
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAY JARRELL (PRESIDENT/COO)
(317) 706-1080
Entity
Organization

Contact information

Practice address
613 FORT UNION BLVD, STE 102-A, MIDVALE, UT 84047-5531
(801) 523-7533
(801) 523-3707
Mailing address
615 W. CARMEL DR., SUITE 100, CARMEL, IN 46032-5504
(317) 706-1080
(317) 574-8674

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
293382
ALTIUS
UT
01
45940000002001
BLUESHIELD
UT
01
P00417312
MEDICARE RAILROAD
UT
Enumeration date
06/21/2005
Last updated
08/10/2010
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