Provider Demographics
NPI:1861442808
Name:FOLEY SLEEP PROFESSIONALS LLC
Entity Type:Organization
Organization Name:FOLEY SLEEP PROFESSIONALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:334-528-1300
Mailing Address - Street 1:1819 N MCKENZIE ST
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-2326
Mailing Address - Country:US
Mailing Address - Phone:251-967-5337
Mailing Address - Fax:251-967-2156
Practice Address - Street 1:1819 N MCKENZIE ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2326
Practice Address - Country:US
Practice Address - Phone:251-967-5337
Practice Address - Fax:251-967-2156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12149291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51532349OtherBC/BS
AL51532349OtherBC/BS
AL=========OtherTRICARE