Provider Demographics
NPI:1265704126
Name:LANDSTUHL REGIONAL MEDICAL CENTER
Entity type:Organization
Organization Name:LANDSTUHL REGIONAL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLEEP LAB SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:KRIZINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:011637-186-6697
Mailing Address - Street 1:CMR 402
Mailing Address - Street 2:SLEEP LABORATORY(PULMONARY)
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180
Mailing Address - Country:US
Mailing Address - Phone:01149637-186-6697
Mailing Address - Fax:
Practice Address - Street 1:CMR 402
Practice Address - Street 2:SLEEP LABORATORY (PULMONARY)
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09180
Practice Address - Country:US
Practice Address - Phone:01149637-186-6697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ16266261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic