Provider Demographics
NPI:1003140807
Name:SLEEP DIAGNOSTICS LABS, INC.
Entity Type:Organization
Organization Name:SLEEP DIAGNOSTICS LABS, INC.
Other - Org Name:SLEEP DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:DOLINAR
Authorized Official - Suffix:
Authorized Official - Credentials:RCP, RPFT
Authorized Official - Phone:530-899-8853
Mailing Address - Street 1:35 JAN CT STE 150
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-4418
Mailing Address - Country:US
Mailing Address - Phone:530-899-8853
Mailing Address - Fax:530-899-8854
Practice Address - Street 1:35 JAN CT STE 150
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-4418
Practice Address - Country:US
Practice Address - Phone:530-899-8853
Practice Address - Fax:530-899-8854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic