Provider Demographics
NPI:1619201324
Name:LAURA LEARY
Entity Type:Organization
Organization Name:LAURA LEARY
Other - Org Name:COMPREHENSIVE SLEEP DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEARY
Authorized Official - Suffix:
Authorized Official - Credentials:PSGT
Authorized Official - Phone:781-706-4732
Mailing Address - Street 1:412 CUSHING ST
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-3709
Mailing Address - Country:US
Mailing Address - Phone:781-706-4732
Mailing Address - Fax:781-875-1067
Practice Address - Street 1:1208A VFW PKWY
Practice Address - Street 2:SUITE 202
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-4338
Practice Address - Country:US
Practice Address - Phone:781-706-4732
Practice Address - Fax:781-875-1067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory