# LOUISVILLE SLEEP LAB LLC

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

## Provider details

- **NPI number:** 1104349216
- **Authorized official:** SAJJAD JAMEEL MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (904) 234-0766

## Contact information

- **Practice address:** 1015 DUPONT RD, LOUISVILLE, KY 40207-4610
- **Practice address phone:** (904) 234-0766
- **Practice address fax:** (502) 410-0484
- **Mailing address:** 5810 HARRODS GLEN DR, PROSPECT, KY 40059-7650
- **Mailing address phone:** (904) 234-0766
- **Mailing address fax:** (502) 410-0484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 39870 | KY | Yes |

## Other

- **Enumeration date:** 07/20/2017
- **Last updated:** 07/20/2017