Provider Demographics
NPI:1801808050
Name:SLEEP CLINICS OF AMERICA LLC
Entity type:Organization
Organization Name:SLEEP CLINICS OF AMERICA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZIWOT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:314-302-9307
Mailing Address - Street 1:2421 E TUDOR RD STE 102
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-1166
Mailing Address - Country:US
Mailing Address - Phone:907-677-8889
Mailing Address - Fax:907-677-8886
Practice Address - Street 1:2421 E TUDOR RD STE 102
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-1166
Practice Address - Country:US
Practice Address - Phone:907-677-8889
Practice Address - Fax:907-677-8886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKK161080Medicare PIN