Provider Demographics
NPI:1528168119
Name:SIERRA SLEEP TECHNOLOGIES
Entity type:Organization
Organization Name:SIERRA SLEEP TECHNOLOGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-364-2685
Mailing Address - Street 1:2655 S RAINBOW BLVD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-4000
Mailing Address - Country:US
Mailing Address - Phone:702-364-2685
Mailing Address - Fax:702-364-2680
Practice Address - Street 1:2655 S RAINBOW BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-4000
Practice Address - Country:US
Practice Address - Phone:702-364-2685
Practice Address - Fax:702-364-2680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV8337897Medicare ID - Type Unspecified