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Organization

BIOSERENITY DT INC.

Active
Other names
Digitrace Care Services, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
JANICE SHOCK (EVP CLINICAL OPERATIONS)
(214) 532-3757
Entity
Organization

Contact information

Practice address
2675 PACES FERRY RD SE STE 150, ATLANTA, GA 30339-4099
(770) 828-0052
Mailing address
99 ROSEWOOD DR STE 245, DANVERS, MA 01923-4537
(978) 536-7400
(978) 535-9778

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1640523
UNITED HEALTHCARE
GA
01
470001550
RR MEDICARE
GA
Enumeration date
04/02/2007
Last updated
10/12/2022
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