PRIME CARE SLEEP CENTER; NPI #1164857603

Contact Information

PRIME CARE SLEEP CENTER

2200 OPITZ BLVD
SUITE 340
WOODBRIDGE, VA 22191-3321

Phone: 571-408-4476
Fax: 571-408-4479
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Sleep Disorder Diagnostic	261QS1200X

Indicates primary specialty

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NPI Profile & details for PRIME CARE SLEEP CENTER

NPI Number 1164857603

LBN Legal business name PRIME CARE SLEEP CENTER

Authorized official SIAMAK HEYDARIAN - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/03/2013

Last updated 09/03/2013 - About 13 years ago

Identifiers

License #

0101048248

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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