Provider Demographics
NPI:1578708566
Name:FORNEY SLEEP LAB, LLP
Entity Type:Organization
Organization Name:FORNEY SLEEP LAB, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:S
Authorized Official - Last Name:AARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-227-1088
Mailing Address - Street 1:2504 RIDGE RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-2569
Mailing Address - Country:US
Mailing Address - Phone:972-722-4045
Mailing Address - Fax:972-722-4087
Practice Address - Street 1:763 E US HIGHWAY 80
Practice Address - Street 2:SUITE 235
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-8633
Practice Address - Country:US
Practice Address - Phone:972-552-2690
Practice Address - Fax:972-552-2652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic