Provider Demographics
NPI:1689821118
Name:NEVADA SLEEP DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:NEVADA SLEEP DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:LABANOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:702-990-7660
Mailing Address - Street 1:7455 ARROYO CROSSING PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-4088
Mailing Address - Country:US
Mailing Address - Phone:702-990-7660
Mailing Address - Fax:702-990-7665
Practice Address - Street 1:2911 N TENAYA WAY STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0488
Practice Address - Country:US
Practice Address - Phone:702-990-7660
Practice Address - Fax:702-990-7665
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEVADA SLEEP DIAGNOSTICS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-27
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9072261QS1200X
261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100515643Medicaid
NVV37922Medicare PIN