Provider Demographics
NPI:1508183872
Name:STAT SLEEP CENTER
Entity Type:Organization
Organization Name:STAT SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NIKO
Authorized Official - Middle Name:
Authorized Official - Last Name:OGANESIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-492-9526
Mailing Address - Street 1:11411 BROOKSHIRE AVE
Mailing Address - Street 2:SUITE 505
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-5026
Mailing Address - Country:US
Mailing Address - Phone:562-492-9526
Mailing Address - Fax:562-492-9440
Practice Address - Street 1:11411 BROOKSHIRE AVE
Practice Address - Street 2:SUITE 505
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-5026
Practice Address - Country:US
Practice Address - Phone:562-492-9526
Practice Address - Fax:562-492-9440
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STAT DIAGNOSTIC SERVICE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2597996291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory