Provider Demographics
NPI:1952531519
Name:PRIORITY SLEEP DISORDERS CENTER
Entity Type:Organization
Organization Name:PRIORITY SLEEP DISORDERS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:WELLAR
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT, RPFT, CRT-NPS
Authorized Official - Phone:804-787-0906
Mailing Address - Street 1:2918 PERDUE AVE
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-2063
Mailing Address - Country:US
Mailing Address - Phone:866-842-8442
Mailing Address - Fax:866-422-0580
Practice Address - Street 1:491 SAGE RD N
Practice Address - Street 2:
Practice Address - City:WHITE HOUSE
Practice Address - State:TN
Practice Address - Zip Code:37188-9360
Practice Address - Country:US
Practice Address - Phone:866-942-9442
Practice Address - Fax:866-422-0580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory