Provider Demographics
NPI:1639496532
Name:ALASKA HOME SLEEP DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:ALASKA HOME SLEEP DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/ MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:TRODDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-868-7868
Mailing Address - Street 1:PO BOX 220956
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99522-0956
Mailing Address - Country:US
Mailing Address - Phone:907-686-7868
Mailing Address - Fax:907-868-7869
Practice Address - Street 1:1940 BLUEGRASS CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99502-5403
Practice Address - Country:US
Practice Address - Phone:907-868-7868
Practice Address - Fax:907-686-7869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-01
Last Update Date:2010-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory