# LAKESHORE SLEEP DISORDER CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013033356
- **Authorized official:** MR. STEWART H PACE (SR VP OF CORPORATE DEVELOPMENT)
- **Authorized official phone:** (205) 414-7525

## Contact information

- **Practice address:** 1280 COLUMBIANA RD, SUITE 102, BIRMINGHAM, AL 35216-1642
- **Practice address phone:** (205) 945-6711
- **Mailing address:** PO BOX 689, JASPER, AL 35502-0689
- **Mailing address phone:** (205) 221-8200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 08/22/2020