Provider Demographics
NPI:1609811439
Name:MEDISLEEP DIAGNOSTIC CENTERS, LLC
Entity Type:Organization
Organization Name:MEDISLEEP DIAGNOSTIC CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF LAB OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HEALY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-274-2577
Mailing Address - Street 1:5108 E CLINTON WAY
Mailing Address - Street 2:SUITE131
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-2043
Mailing Address - Country:US
Mailing Address - Phone:559-456-2828
Mailing Address - Fax:
Practice Address - Street 1:950 E DOVLEN PL
Practice Address - Street 2:SUITE F
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-3400
Practice Address - Country:US
Practice Address - Phone:559-456-2828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory