Provider Demographics
NPI:1700046042
Name:SLEEP MEDICINE ASSOCIATES
Entity Type:Organization
Organization Name:SLEEP MEDICINE ASSOCIATES
Other - Org Name:SPECTREM SLEEP MEDICINE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BS, RPSGT
Authorized Official - Phone:775-359-6060
Mailing Address - Street 1:2145 GREEN VISTA DR
Mailing Address - Street 2:SUITE 112
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-8543
Mailing Address - Country:US
Mailing Address - Phone:775-359-6060
Mailing Address - Fax:775-359-9604
Practice Address - Street 1:2145 GREEN VISTA DR
Practice Address - Street 2:SUITE 112
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-8543
Practice Address - Country:US
Practice Address - Phone:775-359-1660
Practice Address - Fax:775-359-1497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory