Provider Demographics
NPI:1194346023
Name:METRO STAR SLEEP CARE CENTER LLC
Entity type:Organization
Organization Name:METRO STAR SLEEP CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MULAI
Authorized Official - Middle Name:T
Authorized Official - Last Name:YOHANNES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-493-4261
Mailing Address - Street 1:10903 INDIAN HEAD HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-4009
Mailing Address - Country:US
Mailing Address - Phone:240-493-4261
Mailing Address - Fax:240-493-4098
Practice Address - Street 1:10903 INDIAN HEAD HWY STE 101
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-4009
Practice Address - Country:US
Practice Address - Phone:301-248-8377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-01
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic