Organization Name: | THE SLEEP INSTITUTE OF UTAH |
NPI Number: | 1518258524 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEANETTE D. ROBINS (MEMBER/MANAGER) |
Mailing Address: | 275 W 200 N Suite 230 Lindon |
State: | UT US |
Postal Code: | 840425009 |
Phone Number: | 8012542895 |
Fax Number: | 8012684174 |
NPI Enumeration Date: | 04/25/2011 |
NPI Last Update Date: | 04/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | 56039540160 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |