Provider Demographics
NPI:1376876649
Name:SLEEP STUDIES INC
Entity Type:Organization
Organization Name:SLEEP STUDIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHEWEGUTA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUKAHANANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-246-1344
Mailing Address - Street 1:1315 MILSTEAD RD NE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-8019
Mailing Address - Country:US
Mailing Address - Phone:770-922-6912
Mailing Address - Fax:770-922-6916
Practice Address - Street 1:1315 MILSTEAD RD NE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-8019
Practice Address - Country:US
Practice Address - Phone:770-922-6912
Practice Address - Fax:770-922-6916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-17
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA00005485261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic