Organization · Type 2 NPI
Experiencare LLC
Sleep Disorder Diagnostic Clinic/Center · Knightdale, NC
NPI number
1205351145
Active
Practice location
502 Mcknight Dr Ste 101
Knightdale, NC 27545-7050
Fax (703) 991-8154
Mailing address
5338 Bowers Hill Dr
Haymarket, VA 20169-4510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center Primary | 261QS1200X | None listed |
| Epilepsy Hospital Unit | 273100000X | None listed |
| Dental Laboratory | 292200000X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Sleep Disorder Diagnostic Clinic/Center: Definition to come...
About NPI 1205351145
Experiencare LLC's National Provider Identifier is 1205351145, issued on Aug 12, 2017. The primary taxonomy on file is Sleep Disorder Diagnostic Clinic/Center (261QS1200X), and the practice location is in Knightdale, NC. The record was last updated on Oct 24, 2020.