Provider Demographics
NPI:1013256619
Name:NYX SLEEP DISORDERS CENTER LLC
Entity type:Organization
Organization Name:NYX SLEEP DISORDERS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:BILBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-799-1428
Mailing Address - Street 1:25050 PEACHLAND AVE
Mailing Address - Street 2:125
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91321
Mailing Address - Country:US
Mailing Address - Phone:661-799-1428
Mailing Address - Fax:661-799-0968
Practice Address - Street 1:25050 PEACHLAND AVE
Practice Address - Street 2:125
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321
Practice Address - Country:US
Practice Address - Phone:661-799-1428
Practice Address - Fax:661-799-0968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-04
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic