Provider Demographics
NPI:1760631717
Name:ALPHASLEEP LABORATORIES, LLC
Entity Type:Organization
Organization Name:ALPHASLEEP LABORATORIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDING & MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, ATP
Authorized Official - Phone:731-660-6199
Mailing Address - Street 1:PO BOX 12048
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38308-0134
Mailing Address - Country:US
Mailing Address - Phone:731-660-6199
Mailing Address - Fax:731-660-8916
Practice Address - Street 1:935 OLD HUMBOLDT RD
Practice Address - Street 2:STE C
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-9625
Practice Address - Country:US
Practice Address - Phone:731-660-6199
Practice Address - Fax:731-660-8916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1509892Medicaid
TN3550869OtherUNITEDHEALTHCARE / UHC
TN4215319OtherBCBS
3790022OtherMEDICARE PTAN