Digitrace Care Services Inc

Organization Active NPI Sleep Disorder Diagnostic Clinic/Center · Fallston, MD

NPI 1639398159 · NPPES record last updated May 17, 2016

Key facts

NPI
1639398159
Entity type
Organization (NPI type 2)
Primary specialty
Sleep Disorder Diagnostic Clinic/Center 261QS1200X
Legal business name
DIGITRACE CARE SERVICES INC
Practice address
2303 Bel Air Rd
Suite 4
Fallston, MD 21047-2737
Phone
(410) 877-3950
NPI assigned
Apr 24, 2007
Organization subpart
No

Authorized official

Name
Joseph Rose
Title
VP of Finance & Administration
Phone
(978) 536-7400

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Yes

Addresses

Primary practice location

2303 Bel Air Rd
Suite 4
Fallston, MD 21047-2737

Mailing address

200 Corporate PL
Suite 5B
Peabody, MA 01960-3840
Phone (978) 536-7400

Other identifiers

IdentifierTypeStateIssuer
292359OtherMDMAMSI
071500008MedicaidMD
292359OtherMDONENET PPO
85970002OtherVACARE FIRST
292359OtherMDMDIPA
419630OtherMDCARE FIRST
520537OtherMDCARE FIRST
85TZDIOtherMDCARE FIRST
85970001OtherVACARE FIRST
292359OtherMDOPTIMUM CHOICE

Other names

  • Sleepmed Inc Doing business as

Other providers in Fallston, MD

All providers in Fallston, MD · Sleep Disorder Diagnostic Clinic/Center in Maryland

Sources for this page

Verify at the official NPI Registry.