Provider Demographics
NPI:1518642040
Name:TAYLORMADE SLEEP SERVICES AND CONSULTING LLC
Entity Type:Organization
Organization Name:TAYLORMADE SLEEP SERVICES AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-524-8418
Mailing Address - Street 1:300 N GILA SPRINGS BLVD UNIT 145
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-2791
Mailing Address - Country:US
Mailing Address - Phone:480-524-8418
Mailing Address - Fax:480-210-7692
Practice Address - Street 1:300 N GILA SPRINGS BLVD UNIT 145
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-2791
Practice Address - Country:US
Practice Address - Phone:480-524-8418
Practice Address - Fax:480-210-7692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic