Provider Demographics
NPI:1033490032
Name:SLEEP TEST SOLUTIONS, LLC
Entity Type:Organization
Organization Name:SLEEP TEST SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SARGENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-478-1485
Mailing Address - Street 1:PO BOX 345
Mailing Address - Street 2:15 PIERCE STREET
Mailing Address - City:WEST ENFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04493-0345
Mailing Address - Country:US
Mailing Address - Phone:207-478-1485
Mailing Address - Fax:
Practice Address - Street 1:15 PIERCE STREET
Practice Address - Street 2:
Practice Address - City:WEST ENFIELD
Practice Address - State:ME
Practice Address - Zip Code:04493
Practice Address - Country:US
Practice Address - Phone:207-478-1485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic