Provider Demographics
NPI:1912432873
Name:PRO SLEEP TESTING
Entity Type:Organization
Organization Name:PRO SLEEP TESTING
Other - Org Name:ARROWHEAD PRO SLEEP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-296-5151
Mailing Address - Street 1:16222 N 59TH AVE STE D170
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-1708
Mailing Address - Country:US
Mailing Address - Phone:602-680-4540
Mailing Address - Fax:602-926-2445
Practice Address - Street 1:16222 N 59TH AVE STE D170
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-1708
Practice Address - Country:US
Practice Address - Phone:602-680-4540
Practice Address - Fax:602-926-2445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center