Provider Demographics
NPI:1043801848
Name:SOUND SLEEP MEDICAL LLC
Entity Type:Organization
Organization Name:SOUND SLEEP MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-529-3938
Mailing Address - Street 1:8941 S 700 E STE 204
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-2402
Mailing Address - Country:US
Mailing Address - Phone:732-688-6486
Mailing Address - Fax:
Practice Address - Street 1:376 E 400 S # 325
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84111-2912
Practice Address - Country:US
Practice Address - Phone:732-688-6486
Practice Address - Fax:801-396-7066
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUND SLEEP MEDICAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies