Organization
AT HOME SLEEP STUDIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEARBY R MAILLARO (MANAGING MEMBER)
(702) 463-8062
Entity
Organization
Contact information
Practice address
1661 E FLAMINGO RD, SUITE 4B, LAS VEGAS, NV 89119-5291
(702) 463-8062
(702) 463-8368
Mailing address
1661 E FLAMINGO RD, SUITE 4B, LAS VEGAS, NV 89119-5291
(702) 463-8062
(702) 463-8368
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
302R00000X
Health Maintenance Organization
Primary
2000154-426
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922264209
—
NV
Enumeration date
08/05/2008
Last updated
08/26/2011
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