Provider Demographics
NPI:1295397156
Name:SKY SLEEP LAB INC.
Entity Type:Organization
Organization Name:SKY SLEEP LAB INC.
Other - Org Name:SKY SLEEP LAB INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SALMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULLAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-809-2312
Mailing Address - Street 1:16661 VENTURA BLVD STE 213
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1940
Mailing Address - Country:US
Mailing Address - Phone:818-809-2312
Mailing Address - Fax:818-809-2314
Practice Address - Street 1:16661 VENTURA BLVD STE 213
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1940
Practice Address - Country:US
Practice Address - Phone:818-809-2312
Practice Address - Fax:818-809-2314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-01
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic