Provider Demographics
NPI:1255588547
Name:ADVANCED SLEEP SYSTEMS INC
Entity type:Organization
Organization Name:ADVANCED SLEEP SYSTEMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:C
Authorized Official - Last Name:VENIZELOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-521-3227
Mailing Address - Street 1:PO BOX 770267
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-0019
Mailing Address - Country:US
Mailing Address - Phone:216-521-3227
Mailing Address - Fax:216-521-3227
Practice Address - Street 1:805 COLUMBIA RD
Practice Address - Street 2:SUITE 101
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1487
Practice Address - Country:US
Practice Address - Phone:216-521-3227
Practice Address - Fax:216-521-3227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty