Provider Demographics
NPI:1952731804
Name:AW SLEEP DIAGNOSTIC CENTER INC
Entity Type:Organization
Organization Name:AW SLEEP DIAGNOSTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MG
Authorized Official - Prefix:MR
Authorized Official - First Name:ROMA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGASYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MG
Authorized Official - Phone:240-235-5895
Mailing Address - Street 1:13154 COIT ROAD,
Mailing Address - Street 2:SUITE 105
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-5787
Mailing Address - Country:US
Mailing Address - Phone:240-235-5895
Mailing Address - Fax:972-559-3634
Practice Address - Street 1:13154 COIT ROAD,
Practice Address - Street 2:SUITE 105
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-5787
Practice Address - Country:US
Practice Address - Phone:240-235-5895
Practice Address - Fax:972-559-3634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty