Provider Demographics
NPI:1043539190
Name:HOME OXIMETRY AND SLEEP TESTING OF MISSOURI
Entity type:Organization
Organization Name:HOME OXIMETRY AND SLEEP TESTING OF MISSOURI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:TRONGAARD
Authorized Official - Suffix:
Authorized Official - Credentials:BS, RRT
Authorized Official - Phone:972-489-3561
Mailing Address - Street 1:224 ROCKBROOK DR
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-6141
Mailing Address - Country:US
Mailing Address - Phone:972-489-3561
Mailing Address - Fax:888-694-7658
Practice Address - Street 1:1720 KANSAS AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64127-2628
Practice Address - Country:US
Practice Address - Phone:888-694-6176
Practice Address - Fax:888-694-2462
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME OXIMETRY AND SLEEP TESTING OF AMERICA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-27
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory