MEDICARE: SLEEPMED INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1770592776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEPMED INC.

Provider Business Mailing Address
First Line	:	200 CORPORATE PL
Second Line	:	SUITE 5B
City	:	PEABODY
State	:	MA
Zip	:	01960-3840
Country	:	US
Telephone Number	:	978-536-7400
Fax Number	:	978-535-9757

Provider Business Practice Location Address
First Line	:	6572 RIVER PARK DR
Second Line	:	SUITE 201
City	:	RIVERDALE
State	:	GA
Zip	:	30274-2214
Country	:	US
Telephone Number	:	770-996-1944
Fax Number	:

Authorized Official
Title or Position	:	EVP/CFO
Name	:	MR. CARL R. IBERGER
Credential	:
Telephone Number	:	978-536-7400

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	08/22/2020

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Directions to “SLEEPMED INC. ” Practice Location

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