Healthcare Provider Details

I. General information

NPI: 1134603988
Provider Name (Legal Business Name): CENTER FOR BREATHING AND SLEEP WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2018
Last Update Date: 03/21/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11111 N SCOTTSDALE RD STE 130
SCOTTSDALE AZ
85254-6734
US

IV. Provider business mailing address

11111 N SCOTTSDALE RD STE 130
SCOTTSDALE AZ
85254-6734
US

V. Phone/Fax

Practice location:
  • Phone: 480-776-0643
  • Fax: 480-776-0647
Mailing address:
  • Phone: 480-776-0643
  • Fax: 480-776-0647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. DIANA A. BATOON
Title or Position: CEO
Credential: DMD
Phone: 480-776-0645