Organization · NPI-2

Advanced Sleep Laboratory - Alpharetta LLC

Clinic/Center, Sleep Disorder Diagnostic · Atlanta, GA

NPI number1871665463
StatusActive
Last updated in NPPESJan 21, 2012

Details

NPI
1871665463
Entity type
Organization (NPI-2)
Legal business name
Advanced Sleep Laboratory - Alpharetta LLC
Organization subpart
No
Enumeration date
Nov 15, 2006
Last updated
Jan 21, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder Diagnostic7198GAYes

Other names

  • Advanced Sleep Center - Alpharetta (Doing Business As)

Practice location

960 Johnson Ferry Rd Ne
Suite 200
Atlanta, GA 30342-1631

Phone 404-705-0855

Mailing address

11815 Northfall Ln
Suite 1002
Alpharetta, GA 30009-7973

Phone 404-705-0855

Authorized official

Samuel A Mickelson
Physician
4047050855

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Sleep Disorder Diagnostic providers in Atlanta, GA