Provider Demographics
NPI:1477856235
Name:PHYHEALTH SLEEP CARE CORPORATION
Entity Type:Organization
Organization Name:PHYHEALTH SLEEP CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:H
Authorized Official - Last Name:NEEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-684-6167
Mailing Address - Street 1:1325 DRY CREEK DR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-7731
Mailing Address - Country:US
Mailing Address - Phone:720-684-6167
Mailing Address - Fax:
Practice Address - Street 1:1325 DRY CREEK DR
Practice Address - Street 2:SUITE 303
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80503-7731
Practice Address - Country:US
Practice Address - Phone:720-684-6167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory