Organization
SLEEPMED PHOENIX LLC
Active
Other names
Sleepmed Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
CARL IBERGER (EVP CFO)
(978) 536-6147
Entity
Organization
Contact information
Practice address
2450 E GUADALUPE RD, SUITE 103A, BUILDING 1, GILBERT, AZ 85234-5116
(978) 536-6147
Mailing address
200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
(978) 536-6147
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
657379
—
AZ
01
—
P00763325
RAILROAD MEDICARE
—
Enumeration date
02/20/2008
Last updated
12/21/2011
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