Provider Demographics
NPI:1790878478
Name:S&A SLEEP SOLUTIONS, LP
Entity Type:Organization
Organization Name:S&A SLEEP SOLUTIONS, LP
Other - Org Name:MERCURY LABORATORY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-454-2848
Mailing Address - Street 1:28533 SPRING TRAILS RDG STE 200
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4355
Mailing Address - Country:US
Mailing Address - Phone:832-856-6500
Mailing Address - Fax:855-673-7263
Practice Address - Street 1:28533 SPRING TRAILS RDG # 200
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386
Practice Address - Country:US
Practice Address - Phone:832-856-6500
Practice Address - Fax:713-389-5288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QS1200X
TX45D2078169291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPL7108OtherBLUE CROSS / BLUE SHIELD
TX167233901Medicaid
TXPL7108OtherBLUE CROSS / BLUE SHIELD