Provider Demographics
NPI:1417278631
Name:INTEGRASLEEP LLC
Entity Type:Organization
Organization Name:INTEGRASLEEP LLC
Other - Org Name:INTEGRASLEEP-SMITHFIELD
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FEIERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-838-7600
Mailing Address - Street 1:9104 FALLS OF NEUSE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-2493
Mailing Address - Country:US
Mailing Address - Phone:919-838-7600
Mailing Address - Fax:919-838-7611
Practice Address - Street 1:1650 BOOKER DAIRY RD
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-9405
Practice Address - Country:US
Practice Address - Phone:919-838-7600
Practice Address - Fax:919-838-7611
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTEGRASLEEP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-22
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory