Provider Demographics
NPI:1215132568
Name:ATLANTIC SLEEP CENTER, LLC
Entity type:Organization
Organization Name:ATLANTIC SLEEP CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:LANE
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-444-1461
Mailing Address - Street 1:331 W MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:HAVELOCK
Mailing Address - State:NC
Mailing Address - Zip Code:28532-2609
Mailing Address - Country:US
Mailing Address - Phone:252-444-1509
Mailing Address - Fax:
Practice Address - Street 1:331 W MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:HAVELOCK
Practice Address - State:NC
Practice Address - Zip Code:28532-2609
Practice Address - Country:US
Practice Address - Phone:252-444-1509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2881001Medicare UPIN
NCQ377140001Medicare UPIN