Organization
SLEEPMED HAMPTON ROADS LLC
Active
Other names
SleepMed of Hampton Roads
Organization subpart
No
Provider details
NPI number
Authorized official
CARL R IBERGER (EVP-CFO)
(978) 536-7400
Entity
Organization
Contact information
Practice address
154 BURNETTS WAY, SUITE 101-A, SUFFOLK, VA 23434-8366
(978) 536-7400
Mailing address
200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
(978) 536-7400
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165795
MDIPA
VA
01
—
344053
ANTHEM BCBS
VA
01
—
419630
CARE FIRST
MD
01
—
520537
CARE FIRST
MD
01
—
552495
SOUTHERN HEALTH
VA
01
—
8597001
CARE FIRST
VA
01
—
8597002
CARE FIRST
VA
01
—
85TZDI
CARE FIRST
MD
01
—
P00600120
RAILROAD MEDICARE
VA
Enumeration date
06/26/2007
Last updated
06/27/2014
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