Organization
EZ SLEEP CLUB, INC.
Active
Organization
EZ SLEEP CLUB, INC.
Active
Other names
Modesto Sleep Center Diagnostic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA MARIE EWERT (CEO)
(209) 523-0202
Entity
Organization
Contact information
Practice address
5039 PENTECOST DR STE D, MODESTO, CA 95356-9290
(888) 588-0202
(888) 599-0202
Mailing address
PO BOX 578104, MODESTO, CA 95357-8104
(888) 588-0202
(888) 599-0202
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/04/2017
Last updated
03/19/2024
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