Provider Demographics
NPI:1104096866
Name:LULLABY SLEEP STUDY CENTER
Entity type:Organization
Organization Name:LULLABY SLEEP STUDY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MYRA
Authorized Official - Middle Name:FRANCIAL
Authorized Official - Last Name:SHELTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-466-2470
Mailing Address - Street 1:724 KAHN DR
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5826
Mailing Address - Country:US
Mailing Address - Phone:410-415-0720
Mailing Address - Fax:410-466-2471
Practice Address - Street 1:724 KAHN DR
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-5826
Practice Address - Country:US
Practice Address - Phone:410-415-0720
Practice Address - Fax:410-466-2471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-08
Last Update Date:2008-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR0983491744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744R1102XOther Service ProvidersSpecialistResearch StudyGroup - Single Specialty