Provider Demographics
NPI:1285063339
Name:KING SLEEP CENTER
Entity type:Organization
Organization Name:KING SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-773-4200
Mailing Address - Street 1:14 FOXMOOR LN
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08721-1423
Mailing Address - Country:US
Mailing Address - Phone:732-773-4200
Mailing Address - Fax:
Practice Address - Street 1:606 LACEY RD
Practice Address - Street 2:
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-2245
Practice Address - Country:US
Practice Address - Phone:732-773-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory