Provider Demographics
NPI:1306372206
Name:EZ SLEEP, LLC
Entity Type:Organization
Organization Name:EZ SLEEP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-490-7002
Mailing Address - Street 1:325 E HILLCREST DR
Mailing Address - Street 2:200
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-5828
Mailing Address - Country:US
Mailing Address - Phone:805-490-7002
Mailing Address - Fax:888-999-1887
Practice Address - Street 1:325 E HILLCREST DR
Practice Address - Street 2:200
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-5828
Practice Address - Country:US
Practice Address - Phone:805-490-7002
Practice Address - Fax:888-999-1887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory