MEDICARE: VALLEY SLEEP THERAPY INC

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	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1609318153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY SLEEP THERAPY INC

Provider Business Mailing Address
First Line	:	PO BOX 30388
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85275-0388
Country	:	US
Telephone Number	:	480-361-0124
Fax Number	:	480-247-5370

Provider Business Practice Location Address
First Line	:	4555 E INVERNESS AVE STE 105
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-4630
Country	:	US
Telephone Number	:	480-361-0124
Fax Number	:	480-247-5370

Authorized Official
Title or Position	:	CEO & PRESIDENT
Name	:	LAURI LYNN LEADLEY
Credential	:
Telephone Number	:	602-300-9158

Provider Enumeration Date	:	11/15/2016
Last Update Date	:	08/25/2020

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Directions to “VALLEY SLEEP THERAPY INC ” Practice Location

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