Provider Demographics
NPI:1285884387
Name:DEEP SLEEP LABORATORIES LLC
Entity type:Organization
Organization Name:DEEP SLEEP LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-322-3222
Mailing Address - Street 1:1730 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-1851
Mailing Address - Country:US
Mailing Address - Phone:828-322-3222
Mailing Address - Fax:828-322-5252
Practice Address - Street 1:1985 TATE BLVD SE
Practice Address - Street 2:STE 614
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-1433
Practice Address - Country:US
Practice Address - Phone:828-855-0701
Practice Address - Fax:828-322-5252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-25
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2881008Medicare PIN