Provider Demographics
NPI:1821439035
Name:PRIME MEDICAL SLEEP CENTER
Entity Type:Organization
Organization Name:PRIME MEDICAL SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-993-9761
Mailing Address - Street 1:237A STATE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-2612
Mailing Address - Country:US
Mailing Address - Phone:508-997-1100
Mailing Address - Fax:508-993-9764
Practice Address - Street 1:88 FAUNCE CORNER MALL RD
Practice Address - Street 2:235
Practice Address - City:N DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-1294
Practice Address - Country:US
Practice Address - Phone:508-993-9761
Practice Address - Fax:508-993-9764
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRIME MEDICAL ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-16
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA001733001OtherPTAN