Provider Demographics
NPI:1891015541
Name:SLEEPTECH, LLC
Entity Type:Organization
Organization Name:SLEEPTECH, LLC
Other - Org Name:COASTAL SLEEP DISORDERS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:MIGLIORINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-838-6444
Mailing Address - Street 1:1680 ROUTE 23
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-7501
Mailing Address - Country:US
Mailing Address - Phone:973-838-6444
Mailing Address - Fax:973-850-7118
Practice Address - Street 1:4051 BROAD ST
Practice Address - Street 2:SUITE 122
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-8714
Practice Address - Country:US
Practice Address - Phone:805-352-1111
Practice Address - Fax:805-352-1120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic