Provider Demographics
NPI:1619283645
Name:SLEEP LAB CENTER
Entity Type:Organization
Organization Name:SLEEP LAB CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MUKESH
Authorized Official - Middle Name:C
Authorized Official - Last Name:SARAIYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-597-6885
Mailing Address - Street 1:3200 COLORADO BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-6876
Mailing Address - Country:US
Mailing Address - Phone:940-597-6885
Mailing Address - Fax:940-384-7069
Practice Address - Street 1:3200 COLORADO BLVD STE 200
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6876
Practice Address - Country:US
Practice Address - Phone:940-597-6885
Practice Address - Fax:940-384-7069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory