Provider Demographics
NPI:1548205461
Name:REM SLEEP DIAGNOSTICS INC
Entity Type:Organization
Organization Name:REM SLEEP DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:SKAIFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-252-8400
Mailing Address - Street 1:PO BOX 5236
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94581-0236
Mailing Address - Country:US
Mailing Address - Phone:707-252-8400
Mailing Address - Fax:707-252-4700
Practice Address - Street 1:855 BORDEAUX WAY
Practice Address - Street 2:SUITE 220
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-7549
Practice Address - Country:US
Practice Address - Phone:707-252-8400
Practice Address - Fax:707-252-4700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ31750ZMedicare ID - Type Unspecified