Provider Demographics
NPI:1306974498
Name:SOUTH AL SLEEP CENTERS INC
Entity type:Organization
Organization Name:SOUTH AL SLEEP CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-792-6802
Mailing Address - Street 1:1865 HONEYSUCKLE RD
Mailing Address - Street 2:STE 3
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-4287
Mailing Address - Country:US
Mailing Address - Phone:334-792-6802
Mailing Address - Fax:334-792-6822
Practice Address - Street 1:1865 HONEYSUCKLE RD
Practice Address - Street 2:STE 3
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36305-4287
Practice Address - Country:US
Practice Address - Phone:334-792-6802
Practice Address - Fax:334-792-6822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL012157261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51555774OtherBCBS OF AL
AL=========OtherHUMANA
AL51555774OtherBCBS OF AL