Provider Demographics
NPI:1144423914
Name:OVERNIGHT SLEEP ANALYSIS, LLC
Entity Type:Organization
Organization Name:OVERNIGHT SLEEP ANALYSIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-335-8632
Mailing Address - Street 1:2760 VIRGINIA PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-4964
Mailing Address - Country:US
Mailing Address - Phone:214-335-8632
Mailing Address - Fax:972-540-9853
Practice Address - Street 1:2760 VIRGINIA PKWY STE 200
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-4964
Practice Address - Country:US
Practice Address - Phone:214-335-8632
Practice Address - Fax:972-540-9853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory