Healthcare Provider Details

I. General information

NPI: 1548769060
Provider Name (Legal Business Name): AMARIN SLEEP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2018
Last Update Date: 12/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3880 SKIPPACK PIKE
SKIPPACK PA
19474
US

IV. Provider business mailing address

PO BOX 1118
SKIPPACK PA
19474-1118
US

V. Phone/Fax

Practice location:
  • Phone: 267-498-9200
  • Fax: 866-386-8526
Mailing address:
  • Phone: 267-498-9200
  • Fax: 866-386-8526

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: DR. MEHUL AMIN
Title or Position: OWNER
Credential: M.D.
Phone: 267-498-9200