Organization
SLEEPMED PHOENIX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL IBERGER (EVP-CAO)
(978) 536-7400
Entity
Organization
Contact information
Practice address
15215 S 48TH ST, SUITE 133, PHOENIX, AZ 85044-9142
(480) 598-4012
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
05
—
657353
—
AZ
01
—
P00763325
RAILROAD MEDICARE
AZ
01
—
Z136360
MEDICARE
AZ
Enumeration date
12/08/2009
Last updated
12/21/2011
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