Provider Demographics
NPI:1376942979
Name:COMFORT HOME SLEEP TEST CORP
Entity Type:Organization
Organization Name:COMFORT HOME SLEEP TEST CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:901-854-4426
Mailing Address - Street 1:2150 W POPLAR AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-0625
Mailing Address - Country:US
Mailing Address - Phone:901-854-4426
Mailing Address - Fax:901-854-8063
Practice Address - Street 1:2150 W POPLAR AVE STE 106
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-0625
Practice Address - Country:US
Practice Address - Phone:901-854-4426
Practice Address - Fax:901-854-8063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS3821122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty