Healthcare Provider Details

I. General information

NPI: 1346497229
Provider Name (Legal Business Name): WEST LAKES SLEEP CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2008
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5950 UNIVERSITY AVE STE 121
WEST DES MOINES IA
50266
US

IV. Provider business mailing address

PO BOX 404
DES MOINES IA
50302-0404
US

V. Phone/Fax

Practice location:
  • Phone: 515-875-9555
  • Fax: 515-875-9556
Mailing address:
  • Phone: 515-875-9924
  • Fax: 515-875-9923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC BARP
Title or Position: CHAIR
Credential:
Phone: 515-875-9100