Provider Demographics
NPI:1194195594
Name:REGENT SLEEP CENTER
Entity type:Organization
Organization Name:REGENT SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:706-972-1702
Mailing Address - Street 1:2 SANDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:GA
Mailing Address - Zip Code:30143-1805
Mailing Address - Country:US
Mailing Address - Phone:706-972-1702
Mailing Address - Fax:
Practice Address - Street 1:2 SANDSTONE DR
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:GA
Practice Address - Zip Code:30143-1805
Practice Address - Country:US
Practice Address - Phone:706-972-1702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Single Specialty