MEDICARE: AIM SLEEP CLINIC

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

General Provider Information

NPI Number	:	1376682807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIM SLEEP CLINIC

Provider Business Mailing Address
First Line	:	2706 LOMA ST
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-4844
Country	:	US
Telephone Number	:	301-646-9002
Fax Number	:	301-445-7903

Provider Business Practice Location Address
First Line	:	10016 COLESVILLE RD STE A
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-2343
Country	:	US
Telephone Number	:	301-646-9002
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	MR. MOHSEN MAREFAT
Credential	:
Telephone Number	:	202-423-3076

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	08/22/2020

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