Provider Demographics
NPI:1376682807
Name:AIM SLEEP CLINIC
Entity Type:Organization
Organization Name:AIM SLEEP CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHSEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAREFAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-423-3076
Mailing Address - Street 1:2706 LOMA ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4844
Mailing Address - Country:US
Mailing Address - Phone:301-646-9002
Mailing Address - Fax:301-445-7903
Practice Address - Street 1:10016 COLESVILLE RD STE A
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-2343
Practice Address - Country:US
Practice Address - Phone:301-646-9002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FDS004Medicare ID - Type Unspecified