Healthcare Provider Details

I. General information

NPI: 1457567737
Provider Name (Legal Business Name): SLEEP MEDIX, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13714 W RIVER RD
KING WILLIAM VA
23086-3204
US

IV. Provider business mailing address

13714 W RIVER RD
KING WILLIAM VA
23086-3204
US

V. Phone/Fax

Practice location:
  • Phone: 804-399-3992
  • Fax:
Mailing address:
  • Phone: 804-399-3992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD BRENT MCGHEE SR.
Title or Position: GENERAL MANAGER
Credential: RCP
Phone: 804-399-3992