MEDICARE: ARETE SLEEP 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	3006	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	:	1740332501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARETE SLEEP LLC

Provider Business Mailing Address
First Line	:	6263 N SCOTTSDALE RD
Second Line	:	SUITE 395
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85250-5406
Country	:	US
Telephone Number	:	480-282-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2154 W GIACONDA WAY
Second Line	:	SUITE 121
City	:	TUCSON
State	:	AZ
Zip	:	85704
Country	:	US
Telephone Number	:	520-219-6581
Fax Number	:	520-219-1781

Authorized Official
Title or Position	:	CFO
Name	:	MARC FEDOR
Credential	:
Telephone Number	:	480-282-6512

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	07/31/2007

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Directions to “ARETE SLEEP LLC ” Practice Location

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