| Organization Name: | SLEEP INSTITUTE OF UTAH LC |
| NPI Number: | 1295824035 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEANETTE D ROBINS (MEMBER MANAGER) |
| Mailing Address: | 822 E Main St Ste 8 Grantsville |
| State: | UT US |
| Postal Code: | 840299577 |
| Phone Number: | 8018843290 |
| Fax Number: | 8018843294 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |