Provider Demographics
NPI:1457978777
Name:COMPLETE SLEEP TESTING LLC
Entity Type:Organization
Organization Name:COMPLETE SLEEP TESTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GAUTHIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-427-7833
Mailing Address - Street 1:5016 HIGHWAY 28 E STE B
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-4737
Mailing Address - Country:US
Mailing Address - Phone:318-427-7833
Mailing Address - Fax:318-448-2457
Practice Address - Street 1:5016 HIGHWAY 28 E STE B
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-4737
Practice Address - Country:US
Practice Address - Phone:318-427-7833
Practice Address - Fax:318-448-2457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic