| Organization Name: | VENRA SLEEP LAB, LLC |
| NPI Number: | 1033385604 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISHNA TRIPURANENI (PRESIDENT) |
| Mailing Address: | 1221 S State Road 7 Wellington |
| State: | FL US |
| Postal Code: | 33414 |
| Phone Number: | 5617953330 |
| Fax Number: | 5617951030 |
| NPI Enumeration Date: | 05/05/2008 |
| NPI Last Update Date: | 05/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |