Organization
PROFESSIONAL SLEEP LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYAN LESTER RRT (OWNER)
(304) 682-8228
Entity
Organization
Contact information
Practice address
ROUTE 10 COOKPARKWAY, OCEANA, WV 24870
(304) 682-8228
Mailing address
PO BOX 1145, PRINCETON, WV 24740-1145
(304) 682-8228
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/29/2007
Last updated
11/19/2007
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