Contract Details
Facility name
Merit Sleep Technologies, Inc
Provider ID
P000003645
NPI
1023164324
Tax ID
364270107
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
1300 South Main St
Lombard, IL 60148
United States
County
DuPage
Phone
6306527900 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Sleep Medicine
Map
Address