Contract Details
Facility name
Home Sleep Diagnostics Ltd
Provider ID
P000003762
NPI
1073693263
Tax ID
810563594
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
4600 I-40 West Suite 402
Amarillo, TX 79106
United States
County
Potter
Phone
8063560009 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Sleep Medicine
Map
Address