# KENTUCKY SLEEP LAB LLC

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

## Provider details

- **NPI number:** 1669654992
- **Authorized official:** MS. NISHA DAVE MBA (OWNER)
- **Authorized official phone:** (502) 667-0692

## Contact information

- **Practice address:** 1006 NEW MOODY LN, SECOND FLOOR, LA GRANGE, KY 40031-9122
- **Practice address phone:** (502) 667-0692
- **Practice address fax:** (502) 222-0390
- **Mailing address:** 1006 NEW MOODY LN, PO BOX 393, LA GRANGE, KY 40031-9122
- **Mailing address phone:** (502) 667-0692
- **Mailing address fax:** (502) 222-0390

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2007
- **Last updated:** 07/28/2009