Provider Demographics
NPI:1447768494
Name:SLEEP LAB LAS VEGAS LLC
Entity Type:Organization
Organization Name:SLEEP LAB LAS VEGAS LLC
Other - Org Name:SLEEP LAB LAS VEGAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MR
Authorized Official - First Name:VALENTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEMLYAK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:800-214-4980
Mailing Address - Street 1:3325 W DESERT INN RD STE 301
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-8308
Mailing Address - Country:US
Mailing Address - Phone:800-214-4980
Mailing Address - Fax:
Practice Address - Street 1:3325 W DESERT INN RD STE 301
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8308
Practice Address - Country:US
Practice Address - Phone:800-214-4980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-11
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic