Provider Demographics
NPI:1750528808
Name:ALLIANCE SLEEP DIAGNOSTICS LLC
Entity type:Organization
Organization Name:ALLIANCE SLEEP DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERRI
Authorized Official - Middle Name:LINETTE
Authorized Official - Last Name:BURKHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-335-4204
Mailing Address - Street 1:133 BIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:KANE
Mailing Address - State:PA
Mailing Address - Zip Code:16735-7929
Mailing Address - Country:US
Mailing Address - Phone:814-837-7547
Mailing Address - Fax:814-837-7548
Practice Address - Street 1:133 BIDDLE ST
Practice Address - Street 2:
Practice Address - City:KANE
Practice Address - State:PA
Practice Address - Zip Code:16735-7929
Practice Address - Country:US
Practice Address - Phone:814-837-7547
Practice Address - Fax:814-837-7548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory