Healthcare Provider Details

I. General information

NPI: 1013475292
Provider Name (Legal Business Name): VALLEY SLEEP THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2019
Last Update Date: 08/25/2020
Certification Date: 08/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6320 W UNION HILLS DR STE 1100B
GLENDALE AZ
85308-1009
US

IV. Provider business mailing address

PO BOX 30388
MESA AZ
85275-0388
US

V. Phone/Fax

Practice location:
  • Phone: 480-361-0124
  • Fax: 480-247-5370
Mailing address:
  • Phone: 480-361-0124
  • Fax: 480-247-5370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: LAURI LYNN LEADLEY
Title or Position: CEO & PRESIDENT
Credential: CCSH, RPSGT
Phone: 602-300-9158