Organization
SLEEPMED PHOENIX, LLC
Active
Other names
BioSerenity; Sleepmed Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE SHOCK (EVP CLINICAL OPERATIONS)
(214) 532-3757
Entity
Organization
Contact information
Practice address
3811 E BELL RD, SUITE 304, PHOENIX, AZ 85032
(978) 536-7400
Mailing address
99 ROSEWOOD DR STE 245, DANVERS, MA 01923-4537
(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
05
—
322913
—
AZ
01
—
P00763325
RAILROAD MEDICARE
—
Enumeration date
10/30/2007
Last updated
05/10/2022
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