Provider Demographics
NPI:1770821043
Name:SLEEP TESTING SERVICES OF AMERICA, INC.
Entity Type:Organization
Organization Name:SLEEP TESTING SERVICES OF AMERICA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:E
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-283-2299
Mailing Address - Street 1:6517 SHELBYVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40067-6579
Mailing Address - Country:US
Mailing Address - Phone:812-283-2299
Mailing Address - Fax:812-283-2607
Practice Address - Street 1:207 SPARKS AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3739
Practice Address - Country:US
Practice Address - Phone:812-283-2299
Practice Address - Fax:812-283-2607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory