Provider Demographics
NPI:1700018660
Name:MONTROSE SLEEP CENTER, LLC
Entity Type:Organization
Organization Name:MONTROSE SLEEP CENTER, LLC
Other - Org Name:STRONGSVILLE SLEEP CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER, SLEEP CENTERS
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BEEBE
Authorized Official - Suffix:
Authorized Official - Credentials:BSSE, RRT, RPSGT
Authorized Official - Phone:330-665-8211
Mailing Address - Street 1:4125 MEDINA RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-2483
Mailing Address - Country:US
Mailing Address - Phone:330-665-8211
Mailing Address - Fax:330-665-8215
Practice Address - Street 1:10633 PEARL RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-1405
Practice Address - Country:US
Practice Address - Phone:330-665-8211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory