Healthcare Provider Details

I. General information

NPI: 1033490032
Provider Name (Legal Business Name): SLEEP TEST SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2011
Last Update Date: 09/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 PIERCE STREET
WEST ENFIELD ME
04493
US

IV. Provider business mailing address

PO BOX 345 15 PIERCE STREET
WEST ENFIELD ME
04493-0345
US

V. Phone/Fax

Practice location:
  • Phone: 207-478-1485
  • Fax:
Mailing address:
  • Phone: 207-478-1485
  • Fax:

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: NOAH SARGENT
Title or Position: OWNER
Credential:
Phone: 207-478-1485