1417291626 NPI number — 1ST CLASS SLEEP DIAGNOSTICS, INC

Table of content: (NPI 1417291626)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417291626 NPI number — 1ST CLASS SLEEP DIAGNOSTICS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
1ST CLASS SLEEP DIAGNOSTICS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417291626
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/15/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14631 LEE HWY
Provider Second Line Business Mailing Address:
SUITE 413
Provider Business Mailing Address City Name:
CENTREVILLE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
20121-5824
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-385-9222
Provider Business Mailing Address Fax Number:
703-373-2681

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19420 GOLF VISTA PLZ
Provider Second Line Business Practice Location Address:
SUITE 350
Provider Business Practice Location Address City Name:
LEESBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
20176-8265
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-385-9222
Provider Business Practice Location Address Fax Number:
703-373-2671
Provider Enumeration Date:
11/15/2012

Additional Information

Authorized Official

Authorized Official Last Name:
YI
Authorized Official First Name:
YOUNG
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
703-385-9222

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  107828 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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