# SLEEP KWEST, LLC

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

## Provider details

- **NPI number:** 1235194002
- **Authorized official:** SHIRON MATLOCK RPSGT/RMLT (PRESIDENT)
- **Authorized official phone:** (573) 860-4004

## Contact information

- **Practice address:** 101B PROGRESS PKWY, SULLIVAN, MO 63080-2359
- **Practice address phone:** (573) 860-4004
- **Practice address fax:** (573) 860-4003
- **Mailing address:** 101B PROGRESS PKWY, SULLIVAN, MO 63080-2359
- **Mailing address phone:** (573) 860-4004
- **Mailing address fax:** (573) 860-4003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | MO | Yes |

## Other

- **Enumeration date:** 04/17/2006
- **Last updated:** 08/22/2020