Provider Demographics
NPI:1811387418
Name:GR8SLEEPCOM
Entity type:Organization
Organization Name:GR8SLEEPCOM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-992-7632
Mailing Address - Street 1:9081 LAWTON PINE DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7045
Mailing Address - Country:US
Mailing Address - Phone:844-992-7632
Mailing Address - Fax:800-439-3194
Practice Address - Street 1:9081 LAWTON PINE DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7045
Practice Address - Country:US
Practice Address - Phone:844-992-7632
Practice Address - Fax:800-439-3194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic