Provider Demographics
NPI:1164752440
Name:ALLIANCE SLEEP DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:ALLIANCE SLEEP DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERRI
Authorized Official - Middle Name:LINETTE
Authorized Official - Last Name:BURKHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-837-7547
Mailing Address - Street 1:225 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:RIDGWAY
Mailing Address - State:PA
Mailing Address - Zip Code:15853-2033
Mailing Address - Country:US
Mailing Address - Phone:814-772-0344
Mailing Address - Fax:814-772-0346
Practice Address - Street 1:225 SOUTH ST
Practice Address - Street 2:
Practice Address - City:RIDGWAY
Practice Address - State:PA
Practice Address - Zip Code:15853-2033
Practice Address - Country:US
Practice Address - Phone:814-772-0344
Practice Address - Fax:814-772-0346
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLIANCE SLEEP DIAGNOSTICS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory