MEDICARE: SLEEP CLINICS OF AMERICA 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

General Provider Information

NPI Number	:	1801808050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP CLINICS OF AMERICA LLC

Provider Business Mailing Address
First Line	:	2421 E TUDOR RD STE 102
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99507-1166
Country	:	US
Telephone Number	:	907-677-8889
Fax Number	:	907-677-8886

Provider Business Practice Location Address
First Line	:	2421 E TUDOR RD STE 102
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99507-1166
Country	:	US
Telephone Number	:	907-677-8889
Fax Number	:	907-677-8886

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT
Name	:	DR. DEBORAH A ZIWOT
Credential	:	DMD
Telephone Number	:	314-302-9307

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	08/01/2023

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