Provider Demographics
NPI:1770724692
Name:HOME OXIMETRY & SLEEP TESTING, LLC
Entity type:Organization
Organization Name:HOME OXIMETRY & SLEEP TESTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:CRTT
Authorized Official - Phone:502-693-2264
Mailing Address - Street 1:5806 COOPER CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-1312
Mailing Address - Country:US
Mailing Address - Phone:502-964-0015
Mailing Address - Fax:
Practice Address - Street 1:5806 COOPER CHAPEL RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40229-1312
Practice Address - Country:US
Practice Address - Phone:502-964-0015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory