MEDICARE: SLEEP SERVICES OF AMERICA

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	291U00000X	Clinical Medical Laboratory	007058	GA

General Provider Information

NPI Number	:	1174796700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP SERVICES OF AMERICA

Provider Business Mailing Address
First Line	:	890 AIRPORT PARK RD
Second Line	:	SUITE 119
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-2559
Country	:	US
Telephone Number	:	410-760-6990
Fax Number	:	410-760-9497

Provider Business Practice Location Address
First Line	:	1561 JANMAR RD
Second Line	:	SUITE D
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-5606
Country	:	US
Telephone Number	:	770-985-1919
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. JOHN H. MATHIAS II
Credential	:
Telephone Number	:	410-760-6990

Provider Enumeration Date	:	04/03/2008
Last Update Date	:	04/03/2008

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Directions to “SLEEP SERVICES OF AMERICA ” Practice Location

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