Healthcare Provider Details

I. General information

NPI: 1194251025
Provider Name (Legal Business Name): HOME SLEEP TESTING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 08/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 SAINT LUKES DR STE A
MONTGOMERY AL
36117-7107
US

IV. Provider business mailing address

433 SAINT LUKES DR STE A
MONTGOMERY AL
36117-7107
US

V. Phone/Fax

Practice location:
  • Phone: 334-396-8082
  • Fax: 334-396-8084
Mailing address:
  • Phone: 334-396-8082
  • Fax: 334-396-8084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number20174444
License Number StateAL

VIII. Authorized Official

Name: MICHAEL WAITES
Title or Position: CEO
Credential:
Phone: 334-322-5340