Provider Demographics
NPI:1700844610
Name:VALLEY OXIMETRY INCORPORATED
Entity Type:Organization
Organization Name:VALLEY OXIMETRY INCORPORATED
Other - Org Name:VALLEY SLEEP CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURI
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT, RCP
Authorized Official - Phone:480-830-3900
Mailing Address - Street 1:PO BOX 30388
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85275-0388
Mailing Address - Country:US
Mailing Address - Phone:480-830-3900
Mailing Address - Fax:480-830-3901
Practice Address - Street 1:4555 E INVERNESS AVE
Practice Address - Street 2:BUILDING 3
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4630
Practice Address - Country:US
Practice Address - Phone:480-830-3900
Practice Address - Fax:480-830-3901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTC3511261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ319237OtherAHCCCS ID
AZ588347Medicaid
IZ9746OtherHEALTHNET
AZ0278730OtherBCBS