MEDICARE: COMPREHENSIVE SLEEP SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center	OTC 3331	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073558938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE SLEEP SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 40520
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85274-0520
Country	:	US
Telephone Number	:	480-446-9010
Fax Number	:	480-993-2087

Provider Business Practice Location Address
First Line	:	5671 E GRANT RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2211
Country	:	US
Telephone Number	:	520-885-4699
Fax Number	:	520-885-4676

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	JOHN BENN
Credential	:
Telephone Number	:	480-446-9010

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	07/29/2013

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