Organization · Type 2 NPI
Indianola Sleep Clinic, LLC
Sleep Disorder Diagnostic Clinic/Center · Belzoni, MS
NPI number
1104831809
Active
Practice location
103 W Jackson St
Belzoni, MS 39038-3500
Fax (888) 519-3773
Mailing address
PO Box 1151
Madison, MS 39130-1151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center Primary | 261QS1200X | None listed |
Sleep Disorder Diagnostic Clinic/Center: Definition to come...
About NPI 1104831809
Indianola Sleep Clinic, LLC's National Provider Identifier is 1104831809, issued on Jul 30, 2006. The primary taxonomy on file is Sleep Disorder Diagnostic Clinic/Center (261QS1200X), and the practice location is in Belzoni, MS. The record was last updated on Feb 15, 2013.