Provider Demographics
NPI:1427436930
Name:BROOKS HOME SLEEP STUDIES, LLC
Entity type:Organization
Organization Name:BROOKS HOME SLEEP STUDIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BYNES BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, RPSGT, CRT
Authorized Official - Phone:318-237-9776
Mailing Address - Street 1:BROOKS HOME SLEEP STUDIES LLC
Mailing Address - Street 2:ULM, STUBBS HALL 203, 700 UNIVERSITY AVENUE
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71209-6435
Mailing Address - Country:US
Mailing Address - Phone:318-342-1442
Mailing Address - Fax:318-625-0605
Practice Address - Street 1:BROOKS HOME SLEEP STUDIES LLC
Practice Address - Street 2:ULM, STUBBS HALL 203, 700 UNIVERSITY AVENUE
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71209-6435
Practice Address - Country:US
Practice Address - Phone:318-342-1442
Practice Address - Fax:318-625-0605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-16
Last Update Date:2015-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA203139261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic