Healthcare Provider Details

I. General information

NPI: 1639422074
Provider Name (Legal Business Name): CENTER POINTE SLEEP ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2012
Last Update Date: 01/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 UNION AVE SUITE B
NATRONA HEIGHTS PA
15065-2201
US

IV. Provider business mailing address

1830 UNION AVE STE B
NATRONA HEIGHTS PA
15065-2201
US

V. Phone/Fax

Practice location:
  • Phone: 724-941-6595
  • Fax: 724-941-8694
Mailing address:
  • Phone: 724-941-6595
  • Fax: 724-941-8694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: KELLI THOMPSON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: BS, RRT
Phone: 724-941-6595