Provider Demographics
NPI:1619917622
Name:SLEEP AVE
Entity Type:Organization
Organization Name:SLEEP AVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SALES AND OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBANESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-485-7150
Mailing Address - Street 1:13284 POND SPRINGS RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-7105
Mailing Address - Country:US
Mailing Address - Phone:512-485-7150
Mailing Address - Fax:512-485-7782
Practice Address - Street 1:13284 POND SPRINGS RD
Practice Address - Street 2:SUITE 302
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-7105
Practice Address - Country:US
Practice Address - Phone:512-485-7150
Practice Address - Fax:512-485-7782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTS067Medicare ID - Type Unspecified
TXFTSP30Medicare ID - Type Unspecified