MEDICARE: SWEET DREAMS SLEEP LAB

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	:	1851465033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEET DREAMS SLEEP LAB

Provider Business Mailing Address
First Line	:	2022 LONESOME DOVE DR
Second Line	:
City	:	FRANKLINTON
State	:	NC
Zip	:	27525-7540
Country	:	US
Telephone Number	:	919-764-9018
Fax Number	:	919-496-3689

Provider Business Practice Location Address
First Line	:	1956 S MAIN ST
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-9336
Country	:	US
Telephone Number	:	919-497-8407
Fax Number	:	919-496-3689

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JEFF CHAPPEL
Credential	:
Telephone Number	:	252-478-5055

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	08/22/2020

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