Provider Demographics
NPI:1235694787
Name:SLEEP TECHNOLOGY GROUP LLC
Entity type:Organization
Organization Name:SLEEP TECHNOLOGY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:KIRKLAND
Authorized Official - Last Name:PURCELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-478-4168
Mailing Address - Street 1:1514 MATHIS FERRY RD STE 3
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-9760
Mailing Address - Country:US
Mailing Address - Phone:843-800-8692
Mailing Address - Fax:843-800-8693
Practice Address - Street 1:1514 MATHIS FERRY RD STE 3
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-9760
Practice Address - Country:US
Practice Address - Phone:843-478-4168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-08
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies