Provider Demographics
NPI:1326221870
Name:SLEEP LABS OF ENGLEWOOD LLC
Entity Type:Organization
Organization Name:SLEEP LABS OF ENGLEWOOD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:F
Authorized Official - Last Name:SIMCHECK
Authorized Official - Suffix:
Authorized Official - Credentials:PTA, LMT
Authorized Official - Phone:941-475-1200
Mailing Address - Street 1:PO BOX 328
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34295-0328
Mailing Address - Country:US
Mailing Address - Phone:941-475-1200
Mailing Address - Fax:941-475-1500
Practice Address - Street 1:1861 PLACIDA RD
Practice Address - Street 2:SUITE 202
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-4961
Practice Address - Country:US
Practice Address - Phone:941-475-1200
Practice Address - Fax:941-475-1500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC8084261QS1200X, 291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTIN TAXPAYER IDENTIFICATION NUMBER