Provider Demographics
NPI:1497943880
Name:NIGHT OWL SLEEP RESOURCES, LLC
Entity Type:Organization
Organization Name:NIGHT OWL SLEEP RESOURCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDOWSKI
Authorized Official - Suffix:II
Authorized Official - Credentials:PHD
Authorized Official - Phone:586-416-2550
Mailing Address - Street 1:2030 W MCNAB RD
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-1002
Mailing Address - Country:US
Mailing Address - Phone:800-938-0075
Mailing Address - Fax:
Practice Address - Street 1:2030 W MCNAB RD
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1002
Practice Address - Country:US
Practice Address - Phone:800-938-0075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory