National Provider Identifier Database

PRIME CARE SLEEP CENTER
Sleep Disorder Diagnostic


Contact Information

PRIME CARE SLEEP CENTER
2200 OPITZ BLVD
SUITE 340
WOODBRIDGE, VA22191-3321
Phone: 571-408-4476
Fax: 571-408-4479
Website:
Specialty Taxonomy Code
* Sleep Disorder Diagnostic 261QS1200X

* Indicates primary specialty

NPI Profile & details for PRIME CARE SLEEP CENTER

NPI Number 1164857603
Legal business name
LBN
PRIME CARE SLEEP CENTER
Authorized official SIAMAK HEYDARIAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/03/2013
Last updated 09/03/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0101048248

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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