Provider Demographics
NPI:1093292229
Name:EMPIRE SLEEP TESTING LLC
Entity Type:Organization
Organization Name:EMPIRE SLEEP TESTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:BLANCHET
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:716-397-8616
Mailing Address - Street 1:2810 SWEET HOME RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1347
Mailing Address - Country:US
Mailing Address - Phone:716-250-7460
Mailing Address - Fax:716-203-0099
Practice Address - Street 1:2810 SWEET HOME RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-1347
Practice Address - Country:US
Practice Address - Phone:716-250-7460
Practice Address - Fax:716-203-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1100127373OtherNEW YORK STATE VENDOR NUMBER