Provider Demographics
NPI:1124495262
Name:ASC SLEEP SOLUTIONS
Entity type:Organization
Organization Name:ASC SLEEP SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:TABDILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-270-7865
Mailing Address - Street 1:3200 STECK AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-8032
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:512-498-1131
Practice Address - Street 1:3200 STECK AVE STE 210
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-8032
Practice Address - Country:US
Practice Address - Phone:512-300-4785
Practice Address - Fax:512-498-1131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TX1001228332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies