Provider Demographics
NPI:1114087244
Name:PREFERRED THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:PREFERRED THERAPY SERVICES, LLC
Other - Org Name:PREFERRED SLEEP LABORATORIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:OH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-823-4000
Mailing Address - Street 1:1 JAMES P MURPHY IND HWY
Mailing Address - Street 2:
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893-2366
Mailing Address - Country:US
Mailing Address - Phone:401-823-4000
Mailing Address - Fax:401-823-4054
Practice Address - Street 1:1 JAMES P MURPHY IND HWY
Practice Address - Street 2:
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893-2366
Practice Address - Country:US
Practice Address - Phone:401-823-4000
Practice Address - Fax:401-823-4054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIACF01576261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI414503Medicare ID - Type Unspecified