Provider Demographics
NPI:1467405480
Name:ALLIANT SLEEP, LLC
Entity Type:Organization
Organization Name:ALLIANT SLEEP, LLC
Other - Org Name:AMERICAN SLEEP MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTAZERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-987-3100
Mailing Address - Street 1:9439 ARCHIBALD AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-7946
Mailing Address - Country:US
Mailing Address - Phone:909-987-3100
Mailing Address - Fax:909-987-5510
Practice Address - Street 1:9439 ARCHIBALD AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-7946
Practice Address - Country:US
Practice Address - Phone:909-987-3100
Practice Address - Fax:909-987-5510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory