Organization
SLEEP LABS OF HAMMOND LLC
Active
Other names
Hammond Sleep Disorders Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY VICE (OFFICE MANAGER)
(985) 345-2009
Entity
Organization
Contact information
Practice address
1200 DEREK DRIVE, STE. 400, HAMMOND, LA 70403-5763
(985) 345-2009
(985) 345-2003
Mailing address
382 B CARRIAGE HOUSE DRIVE, JACKSON, TN 38305-2299
(731) 664-8716
(731) 664-8932
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5DA5O
MEDICARE PTAN
LA
01
—
G6954
BCBS LA
—
Enumeration date
04/13/2006
Last updated
09/17/2013
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