Provider Demographics
NPI:1952326332
Name:MIDWEST SLEEP SERVICES INC
Entity Type:Organization
Organization Name:MIDWEST SLEEP SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ELDER
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:319-530-3168
Mailing Address - Street 1:527 PARK LN
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50702-5236
Mailing Address - Country:US
Mailing Address - Phone:319-233-2278
Mailing Address - Fax:
Practice Address - Street 1:527 PARK LN
Practice Address - Street 2:SUITE 400
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702-5236
Practice Address - Country:US
Practice Address - Phone:319-233-2278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic