Organization
NOVASLEEP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R CLARKE (AUTHORIZED OFFICIAL)
(719) 484-0000
Entity
Organization
Contact information
Practice address
9475 BRIAR VILLAGE PT, SUITE 320, COLORADO SPRINGS, CO 80920-7901
(719) 487-0890
(719) 484-0031
Mailing address
9475 BRIAR VILLAGE PT, SUITE 320, COLORADO SPRINGS, CO 80920-7901
(719) 487-0890
(719) 484-0031
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43628346
—
CO
01
—
COB 5166
MEDICARE PTAN
—
Enumeration date
03/31/2011
Last updated
03/26/2012
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