Provider Demographics
NPI:1750882148
Name:DELAWARE SLEEP DISORDER CENTERS, LLC
Entity type:Organization
Organization Name:DELAWARE SLEEP DISORDER CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LYRON
Authorized Official - Middle Name:
Authorized Official - Last Name:DEPUTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-652-5109
Mailing Address - Street 1:261 CHAPMAN ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5426
Mailing Address - Country:US
Mailing Address - Phone:302-652-5109
Mailing Address - Fax:877-575-3337
Practice Address - Street 1:261 CHAPMAN RD STE 100A
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5426
Practice Address - Country:US
Practice Address - Phone:302-652-5109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-22
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic