Healthcare Provider Details

I. General information

NPI: 1528168119
Provider Name (Legal Business Name): SIERRA SLEEP TECHNOLOGIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2655 S RAINBOW BLVD SUITE 310
LAS VEGAS NV
89146-4000
US

IV. Provider business mailing address

2655 S RAINBOW BLVD SUITE 310
LAS VEGAS NV
89146-4000
US

V. Phone/Fax

Practice location:
  • Phone: 702-364-2685
  • Fax: 702-364-2680
Mailing address:
  • Phone: 702-364-2685
  • Fax: 702-364-2680

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: MR. CHRIS HASSELL
Title or Position: OWNER
Credential:
Phone: 702-364-2685