Organization
SLEEP MED LLC
Active
Parent organization
AMERICAN SLEEP MEDICINE, LLC
Other names
American Sleep Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN SLEEP MEDICINE, LLC
Authorized official
MR. JIM EVANGER (PRESIDENT)
(904) 517-5500
Entity
Organization
Contact information
Practice address
5050 MURPHY CANYON RD, SUITE 100, SAN DIEGO, CA 92123-1847
(858) 277-7353
(858) 514-8626
Mailing address
7900 BELFORT PARKWAY, SUITE 301, JACKSONVILLE, FL 32256-6978
(904) 517-5500
(904) 517-5501
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IDTF00670
—
CA
Enumeration date
05/13/2006
Last updated
11/25/2013
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