Provider Demographics
NPI:1518258524
Name:THE SLEEP INSTITUTE OF UTAH
Entity Type:Organization
Organization Name:THE SLEEP INSTITUTE OF UTAH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-254-2895
Mailing Address - Street 1:275 W 200 N
Mailing Address - Street 2:SUITE 230
Mailing Address - City:LINDON
Mailing Address - State:UT
Mailing Address - Zip Code:84042-5009
Mailing Address - Country:US
Mailing Address - Phone:801-254-2895
Mailing Address - Fax:801-268-4174
Practice Address - Street 1:275 W 200 N
Practice Address - Street 2:SUITE 230
Practice Address - City:LINDON
Practice Address - State:UT
Practice Address - Zip Code:84042-5009
Practice Address - Country:US
Practice Address - Phone:801-254-2895
Practice Address - Fax:801-268-4174
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORPHEUS HEALTHCARE LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-04-25
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT56039540160261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic