Provider Demographics
NPI:1164921292
Name:ADVANCED SLEEP TREATMENT CO
Entity Type:Organization
Organization Name:ADVANCED SLEEP TREATMENT CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EKATERINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-439-8333
Mailing Address - Street 1:10230 NEW HAMPSHIRE AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-1418
Mailing Address - Country:US
Mailing Address - Phone:301-439-8333
Mailing Address - Fax:301-439-4622
Practice Address - Street 1:10230 NEW HAMPSHIRE AVE STE 330
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903
Practice Address - Country:US
Practice Address - Phone:301-439-8333
Practice Address - Fax:301-439-4622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-05
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14794122300000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Multi-Specialty