Provider Demographics
NPI:1710434048
Name:SLEEP TEST UNLIMITED
Entity Type:Organization
Organization Name:SLEEP TEST UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMENTAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-318-2507
Mailing Address - Street 1:1865 HERNDON AVE
Mailing Address - Street 2:SUITE K111
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-6163
Mailing Address - Country:US
Mailing Address - Phone:530-318-2507
Mailing Address - Fax:
Practice Address - Street 1:1865 HERNDON AVE
Practice Address - Street 2:SUITE K111
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-6163
Practice Address - Country:US
Practice Address - Phone:530-318-2507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory