Provider Demographics
NPI:1598963043
Name:GREENVILLE SLEEP LAB, LLP
Entity Type:Organization
Organization Name:GREENVILLE SLEEP LAB, LLP
Other - Org Name:GREENVILLE SLEEP LAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL PARTNER
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:972-722-4045
Mailing Address - Street 1:4006 WELLINGTON STREET
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75401
Mailing Address - Country:US
Mailing Address - Phone:972-722-4045
Mailing Address - Fax:972-722-4087
Practice Address - Street 1:4006 WELLINGTON ST.
Practice Address - Street 2:SUITE 110
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401
Practice Address - Country:US
Practice Address - Phone:972-722-4045
Practice Address - Fax:972-722-4087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic