Provider Demographics
NPI:1609327055
Name:AMERICAN SLEEP PRODUCTS
Entity Type:Organization
Organization Name:AMERICAN SLEEP PRODUCTS
Other - Org Name:AMERICAN SLEEP PRODUCTS, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-517-5536
Mailing Address - Street 1:7900 BELFORT PKWY
Mailing Address - Street 2:SUITE 301B
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-6931
Mailing Address - Country:US
Mailing Address - Phone:904-517-5536
Mailing Address - Fax:904-517-5542
Practice Address - Street 1:5 REGENT ST
Practice Address - Street 2:SUITE 112
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1675
Practice Address - Country:US
Practice Address - Phone:973-422-9030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN SLEEP MEDICINE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-20
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies