# PACIFIC SLEEP TECH INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SLEEP DISORDER CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740433002
- **Authorized official:** MR. JOSE D REQUE (PRESIDENT)
- **Authorized official phone:** (808) 531-7878

## Contact information

- **Practice address:** 98-1247 KAAHUMANU ST STE 106, AIEA, HI 96701-5310
- **Practice address phone:** (808) 531-7878
- **Practice address fax:** (808) 531-7829
- **Mailing address:** 98-1247 KAAHUMANU ST STE 106, AIEA, HI 96701-5310
- **Mailing address phone:** (808) 531-7878
- **Mailing address fax:** (808) 531-7829

## Taxonomy

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

## Other

- **Enumeration date:** 10/30/2008
- **Last updated:** 10/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | W27301992-01 | GET LICENSE | HI |