Organization
ADVANCED SLEEP CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMIN MIRTAHERI (PRESIDENT)
(504) 885-3737
Entity
Organization
Contact information
Practice address
2905 KINGMAN ST, 3RD FLOOR, SUITE 3, METAIRIE, LA 70006-6615
(504) 885-3737
(504) 885-5507
Mailing address
2905 KINGMAN ST, 3RD FLOOR, SUITE 3, METAIRIE, LA 70006-6615
(504) 885-3737
(504) 885-5507
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1314536
—
LA
Enumeration date
01/16/2007
Last updated
05/18/2016
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