Provider Demographics
NPI:1457567737
Name:SLEEP MEDIX, INC.
Entity Type:Organization
Organization Name:SLEEP MEDIX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:BRENT
Authorized Official - Last Name:MCGHEE
Authorized Official - Suffix:SR
Authorized Official - Credentials:RCP
Authorized Official - Phone:804-399-3992
Mailing Address - Street 1:13714 W RIVER RD
Mailing Address - Street 2:
Mailing Address - City:KING WILLIAM
Mailing Address - State:VA
Mailing Address - Zip Code:23086-3204
Mailing Address - Country:US
Mailing Address - Phone:804-399-3992
Mailing Address - Fax:
Practice Address - Street 1:13714 W RIVER RD
Practice Address - Street 2:
Practice Address - City:KING WILLIAM
Practice Address - State:VA
Practice Address - Zip Code:23086-3204
Practice Address - Country:US
Practice Address - Phone:804-399-3992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory