Provider Demographics
NPI:1083880884
Name:COUGAR SLEEP DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:COUGAR SLEEP DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCPEAK
Authorized Official - Suffix:
Authorized Official - Credentials:BA, RPSGT
Authorized Official - Phone:540-381-1912
Mailing Address - Street 1:130 ELLETT RD
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-1510
Mailing Address - Country:US
Mailing Address - Phone:877-272-5150
Mailing Address - Fax:877-272-5157
Practice Address - Street 1:130 ELLETT RD
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-1510
Practice Address - Country:US
Practice Address - Phone:877-272-5150
Practice Address - Fax:877-272-5157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory