Organization Name: | E Z SLEEP LAB, LLC |
NPI Number: | 1023243003 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SATTY BHOWRA (ADMINISTRATOR) |
Mailing Address: | 14973 W Bell Rd Surprise |
State: | AZ US |
Postal Code: | 853743236 |
Phone Number: | 6025504065 |
Fax Number: | 6239345603 |
NPI Enumeration Date: | 05/20/2009 |
NPI Last Update Date: | 08/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | OTC 4137 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |