Provider Demographics
NPI:1104003441
Name:SLEEPTECH, LLC
Entity Type:Organization
Organization Name:SLEEPTECH, LLC
Other - Org Name:LAUREL SLEEP DISORDERS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-838-6444
Mailing Address - Street 1:1680 ROUTE 23
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-7501
Mailing Address - Country:US
Mailing Address - Phone:973-838-6444
Mailing Address - Fax:973-850-7118
Practice Address - Street 1:30 CIRCLE J DR
Practice Address - Street 2:SUITE 4
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39440-1980
Practice Address - Country:US
Practice Address - Phone:973-838-6444
Practice Address - Fax:973-850-7118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic