Provider Demographics
NPI:1447658513
Name:SOMNIA SLEEP WELLNESS, INC
Entity type:Organization
Organization Name:SOMNIA SLEEP WELLNESS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:FATIANOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-836-5100
Mailing Address - Street 1:8401 PARK MEADOWS CENTER DR
Mailing Address - Street 2:A103
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5128
Mailing Address - Country:US
Mailing Address - Phone:720-836-5100
Mailing Address - Fax:
Practice Address - Street 1:8401 PARK MEADOWS CENTER DR
Practice Address - Street 2:A103
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5128
Practice Address - Country:US
Practice Address - Phone:720-836-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-05
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory