Provider Demographics
NPI:1639422074
Name:CENTER POINTE SLEEP ASSOCIATES, LLC
Entity Type:Organization
Organization Name:CENTER POINTE SLEEP ASSOCIATES, LLC
Other - Org Name:NATRONA HEIGHTS SLEEP CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:BS, RRT
Authorized Official - Phone:724-941-6595
Mailing Address - Street 1:1830 UNION AVE STE B
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-2201
Mailing Address - Country:US
Mailing Address - Phone:724-941-6595
Mailing Address - Fax:724-941-8694
Practice Address - Street 1:1830 UNION AVE
Practice Address - Street 2:SUITE B
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-2201
Practice Address - Country:US
Practice Address - Phone:724-941-6595
Practice Address - Fax:724-941-8694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic