Provider Demographics
NPI:1194152249
Name:LUNDBERG SLEEP STUDIES
Entity type:Organization
Organization Name:LUNDBERG SLEEP STUDIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CALLIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:QUARELS-LARSON
Authorized Official - Suffix:
Authorized Official - Credentials:RMA
Authorized Official - Phone:530-534-5353
Mailing Address - Street 1:1940 FEATHER RIVER BLVD STE O
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95965-5723
Mailing Address - Country:US
Mailing Address - Phone:530-534-5353
Mailing Address - Fax:
Practice Address - Street 1:1940 FEATHER RIVER BLVD., SUITE #O
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95965
Practice Address - Country:US
Practice Address - Phone:530-534-5353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000000OtherNONE