Idaho Diagnostic Sleep Lab, Inc.
LBN: Idaho Diagnostic Sleep Lab, Inc.
Idaho Diagnostic Sleep Lab, Inc. is an health care organization with primary practice located at 526 Shoup Ave W Ste C , Twin Falls ID 83301-5050. The organization recently has only one registered license in Ambulatory Health Care Facilities / Sleep Disorder Diagnostic, which is considered as the primary health care specialty.
Idaho Diagnostic Sleep Lab, Inc. can be contacted via phone (208) 736-7646, or through Christensen, Sean D via phone (208) 736-7646.
Contact Information
Primary practice address
526 Shoup Ave W Ste C
Twin Falls ID 83301-5050
Phone: (208) 736-7646
Fax: (208) 736-1569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Sleep Disorder Diagnostic | 261QS1200X | 002743400 | Idaho |
Profile Details
| NPI number | 1992850671 |
|---|---|
| LBN Legal business name | Idaho Diagnostic Sleep Lab, Inc. |
| DBA Doing business as | |
| Authorized official | Christensen, Sean D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jan 11th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992850671 | NPPES |
| Idaho | Other | 85563 | BLUE CROSS OF IDAHO |
| Idaho | MEDICAID | 002743400 | BLUE CROSS OF IDAHO |
| Idaho | Other | P00091316 | BLUE CROSS OF IDAHO |
| Idaho | Other | 000010000391 | BLUE CROSS OF IDAHO |
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