Provider Demographics
NPI:1609120773
Name:SLEEP LAB FOR CHILDREN & ADULT, INC.
Entity Type:Organization
Organization Name:SLEEP LAB FOR CHILDREN & ADULT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:RAIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-869-8325
Mailing Address - Street 1:3701 BOULEVARD STE H
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-1339
Mailing Address - Country:US
Mailing Address - Phone:804-869-8325
Mailing Address - Fax:804-520-6748
Practice Address - Street 1:3701 BOULEVARD STE H
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-1339
Practice Address - Country:US
Practice Address - Phone:804-869-8325
Practice Address - Fax:804-520-6748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-29
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory