Provider Demographics
NPI:1326657834
Name:GERGEN'S SLEEP LABORATORY, INC.
Entity Type:Organization
Organization Name:GERGEN'S SLEEP LABORATORY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GM
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-879-6066
Mailing Address - Street 1:1745 W DEER VALLEY RD STE 112
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-2106
Mailing Address - Country:US
Mailing Address - Phone:623-879-6066
Mailing Address - Fax:623-879-6166
Practice Address - Street 1:1745 W DEER VALLEY RD STE 112
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-2106
Practice Address - Country:US
Practice Address - Phone:623-879-6066
Practice Address - Fax:623-879-6166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-30
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes292200000XLaboratoriesDental Laboratory