Provider Demographics
NPI:1356653240
Name:MONTROSE SLEEP CENTER, LLC
Entity Type:Organization
Organization Name:MONTROSE SLEEP CENTER, LLC
Other - Org Name:WILLOUGHBY HILLS SLEEP CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR DIRECTOR, OUTPT. CINICAL SER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-665-8202
Mailing Address - Street 1:34900 CHARDON RD
Mailing Address - Street 2:#105
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44094-9161
Mailing Address - Country:US
Mailing Address - Phone:888-996-4319
Mailing Address - Fax:877-204-0094
Practice Address - Street 1:34900 CHARDON RD
Practice Address - Street 2:#105
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-9161
Practice Address - Country:US
Practice Address - Phone:888-996-4319
Practice Address - Fax:877-204-0094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory