Healthcare Provider Details

I. General information

NPI: 1114441441
Provider Name (Legal Business Name): ASD SLEEP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2017
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1289 S INTERSTATE DR STE 300
CEDAR CITY UT
84720-3794
US

IV. Provider business mailing address

1289 S INTERSTATE DR STE 300
CEDAR CITY UT
84720-3794
US

V. Phone/Fax

Practice location:
  • Phone: 800-555-1518
  • Fax: 800-315-0481
Mailing address:
  • Phone: 800-555-1518
  • Fax: 800-315-0481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
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: MR. RYAN N. GREGERSON
Title or Position: PRESIDENT
Credential:
Phone: 800-555-1518