Provider Demographics
NPI:1477723542
Name:SLEEPWELL DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:SLEEPWELL DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SINGLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ISRAEL
Authorized Official - Last Name:SLAMOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-200-4884
Mailing Address - Street 1:820 S MONACO PKWY # 355
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3703
Mailing Address - Country:US
Mailing Address - Phone:720-200-4884
Mailing Address - Fax:720-200-5951
Practice Address - Street 1:5655 S YOSEMITE ST
Practice Address - Street 2:SUITE 210
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3218
Practice Address - Country:US
Practice Address - Phone:720-200-4884
Practice Address - Fax:720-200-5951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC531358Medicare PIN