NPI 1013219310

Western Idaho Center for Sleep, LLC

Organisation Clinical Medical Laboratory Ashland, OR

Practice location

Address: 302 E Hersey St Suite 12, Ashland, OR 97520-1200
Phone: (541) 488-7715
Fax: (541) 488-7721
Mailing address: 1673 W Shoreline Dr Suite 140, Boise, ID 83702-6750

Authorised official

Name: Dodie R Noles
Title: Manager
Phone: (541) 488-7715

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

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Registry record

NPI: 1013219310
Entity type: Organization
NPI issued: 19 Nov 2010
Record last updated: 19 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.