Provider Demographics
NPI:1780775585
Name:SLEEP ASSOCIATES, LLC
Entity type:Organization
Organization Name:SLEEP ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:Y
Authorized Official - Last Name:BORDELON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:225-766-5656
Mailing Address - Street 1:5211 ESSEN LN
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3564
Mailing Address - Country:US
Mailing Address - Phone:225-766-5656
Mailing Address - Fax:225-766-9191
Practice Address - Street 1:5211 ESSEN LN
Practice Address - Street 2:SUITE 6
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3564
Practice Address - Country:US
Practice Address - Phone:225-766-5656
Practice Address - Fax:225-766-9191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
5CG02Medicare ID - Type Unspecified