Provider Demographics
NPI:1265485395
Name:ARETE SLEEP LLC
Entity Type:Organization
Organization Name:ARETE SLEEP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:FEDOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-282-6512
Mailing Address - Street 1:6263 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE 395
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-5406
Mailing Address - Country:US
Mailing Address - Phone:480-282-6500
Mailing Address - Fax:480-282-6600
Practice Address - Street 1:2001 W ORANGE GROVE RD
Practice Address - Street 2:SUITE 302
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1139
Practice Address - Country:US
Practice Address - Phone:480-282-6599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3921261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ978760Medicaid