Organization
SLEEPMED PHOENIX LLC
Active
Other names
SleepMed Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA NAUFUL (VP COMPLIANCE & CONTRACTING)
(770) 309-2000
Entity
Organization
Contact information
Practice address
1144 E MCDOWELL RD, SUITE 401, PHOENIX, AZ 85006
(978) 536-7400
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
—
304664
—
AZ
01
—
7618325
AETNA
AZ
01
—
P00763325
RAILROAD MEDICARE
—
Enumeration date
05/31/2007
Last updated
08/22/2018
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