Provider Demographics
NPI:1790066520
Name:MOUNTAIN SLEEP DIAGNOSTICS, INC
Entity Type:Organization
Organization Name:MOUNTAIN SLEEP DIAGNOSTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-396-2992
Mailing Address - Street 1:364 N DEGAULLE CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018
Mailing Address - Country:US
Mailing Address - Phone:303-396-2992
Mailing Address - Fax:303-957-9414
Practice Address - Street 1:89 RAMPART WAY
Practice Address - Street 2:#101
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-7246
Practice Address - Country:US
Practice Address - Phone:303-396-2992
Practice Address - Fax:303-957-5414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-07
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic