Provider Demographics
NPI:1326588229
Name:INTEGRATED SLEEP DISORDERS DIAGNOSTICS OF AUBURN, LLC
Entity Type:Organization
Organization Name:INTEGRATED SLEEP DISORDERS DIAGNOSTICS OF AUBURN, LLC
Other - Org Name:ADVANCED CARDIOVASCULAR SLEEP DISORDERS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-372-7803
Mailing Address - Street 1:PO BOX 3369
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36831-3369
Mailing Address - Country:US
Mailing Address - Phone:334-372-7803
Mailing Address - Fax:
Practice Address - Street 1:868 N DEAN RD
Practice Address - Street 2:SUITE B
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-9408
Practice Address - Country:US
Practice Address - Phone:334-321-3840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic