Provider Demographics
NPI:1073878484
Name:LONGMONT SLEEP DIAGNOSTICS INC
Entity Type:Organization
Organization Name:LONGMONT SLEEP DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-396-2992
Mailing Address - Street 1:364 N DE GAULLE CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-1580
Mailing Address - Country:US
Mailing Address - Phone:303-396-2992
Mailing Address - Fax:
Practice Address - Street 1:1325 DRY CREEK DR
Practice Address - Street 2:SUITE 303
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80503-7731
Practice Address - Country:US
Practice Address - Phone:303-396-2992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic