MEDICARE: GR8SLEEPCOM

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	:	1811387418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GR8SLEEPCOM

Provider Business Mailing Address
First Line	:	9081 LAWTON PINE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7045
Country	:	US
Telephone Number	:	844-992-7632
Fax Number	:	800-439-3194

Provider Business Practice Location Address
First Line	:	9081 LAWTON PINE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7045
Country	:	US
Telephone Number	:	844-992-7632
Fax Number	:	800-439-3194

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ARMAN MAGZ
Credential	:
Telephone Number	:	844-992-7632

Provider Enumeration Date	:	02/03/2015
Last Update Date	:	02/03/2015

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Directions to “GR8SLEEPCOM ” Practice Location

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