Provider Demographics
NPI:1952358806
Name:UNIVERSAL SLEEP LAB INC
Entity type:Organization
Organization Name:UNIVERSAL SLEEP LAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERPRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:CHAMBLEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-332-9707
Mailing Address - Street 1:1014 JERSEY ST
Mailing Address - Street 2:
Mailing Address - City:AHOSKIE
Mailing Address - State:NC
Mailing Address - Zip Code:27910-3946
Mailing Address - Country:US
Mailing Address - Phone:252-332-1868
Mailing Address - Fax:252-332-1869
Practice Address - Street 1:1014 JERSEY ST
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-3946
Practice Address - Country:US
Practice Address - Phone:252-332-1868
Practice Address - Fax:252-332-1869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC261QS1200291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory