| Organization Name: | ST LOUIS SLEEP CENTER LLC |
| NPI Number: | 1104856558 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JIM EVANGER (PRESIDENT) |
| Mailing Address: | 727 Craig Rd Suite101 St. Louis |
| State: | MO US |
| Postal Code: | 631417175 |
| Phone Number: | 3149949499 |
| Fax Number: | 3149916844 |
| NPI Enumeration Date: | 07/03/2006 |
| NPI Last Update Date: | 03/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 293D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Laboratories |
| Taxonomy Classification: | Physiological Laboratory |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |