Provider Demographics
NPI:1588628028
Name:SLEEP LABS OF ACADIANA, LLC
Entity Type:Organization
Organization Name:SLEEP LABS OF ACADIANA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:F
Authorized Official - Last Name:LOUVIERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-664-8874
Mailing Address - Street 1:4212 W CONGRESS ST
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-6765
Mailing Address - Country:US
Mailing Address - Phone:337-237-4843
Mailing Address - Fax:337-237-5185
Practice Address - Street 1:4212 W CONGRESS ST
Practice Address - Street 2:SUITE 2200
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-6765
Practice Address - Country:US
Practice Address - Phone:337-237-4843
Practice Address - Fax:337-237-5185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-13
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAB9693OtherBCBS