Provider Demographics
NPI:1518217603
Name:SLEEP STUDIO OF ST. LOUIS
Entity Type:Organization
Organization Name:SLEEP STUDIO OF ST. LOUIS
Other - Org Name:SLEEP STUDIO
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAQLAIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SIAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-569-8673
Mailing Address - Street 1:777 CRAIG RD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7133
Mailing Address - Country:US
Mailing Address - Phone:202-569-8673
Mailing Address - Fax:
Practice Address - Street 1:777 CRAIG RD
Practice Address - Street 2:SUITE 135
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-7133
Practice Address - Country:US
Practice Address - Phone:314-315-4942
Practice Address - Fax:314-315-4942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-15
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic