Healthcare Provider Details

I. General information

NPI: 1063774065
Provider Name (Legal Business Name): NORTH AMERICAN SLEEP TECHNOLOGIES INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2012
Last Update Date: 07/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1865 HERNDON AVE # K221
CLOVIS CA
93611-6163
US

IV. Provider business mailing address

1865 HERNDON AVE # K221
CLOVIS CA
93611-6163
US

V. Phone/Fax

Practice location:
  • Phone: 559-916-4433
  • Fax: 888-666-9426
Mailing address:
  • Phone: 559-916-4433
  • Fax: 888-666-9426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateCA

VIII. Authorized Official

Name: JANET BAILEY
Title or Position: CFO
Credential:
Phone: 559-916-4433