Healthcare Provider Details
I. General information
NPI: 1316876089
Provider Name (Legal Business Name): A-Z SLEEP & AIRWAY CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10220 STAPLES MILL RD
GLEN ALLEN VA
23060-3064
US
IV. Provider business mailing address
4700 CLEAR BARK CIR
MOSELEY VA
23120-2378
US
V. Phone/Fax
- Phone: 804-767-2507
- Fax:
- Phone: 301-379-2452
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ASHLEE
GOODMAN-TABARI
Title or Position: FOUNDER/CEO
Credential: DMD
Phone: 301-379-2452