Provider Demographics
NPI:1821019159
Name:SLEEPI LLC
Entity Type:Organization
Organization Name:SLEEPI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUBATH
Authorized Official - Middle Name:L
Authorized Official - Last Name:KAMALASAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-936-1646
Mailing Address - Street 1:3231 SUNSET BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-3483
Mailing Address - Country:US
Mailing Address - Phone:803-936-1646
Mailing Address - Fax:803-396-1647
Practice Address - Street 1:1483 TOBIAS GADSON BLVD
Practice Address - Street 2:SUITE 207
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-8702
Practice Address - Country:US
Practice Address - Phone:803-936-1646
Practice Address - Fax:803-936-1647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic