Provider Demographics
NPI:1528271020
Name:ADVANCED SLEEP TECHNOLOGIES, INC.
Entity type:Organization
Organization Name:ADVANCED SLEEP TECHNOLOGIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:POOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-863-7710
Mailing Address - Street 1:2816 HILLCREEK DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-5631
Mailing Address - Country:US
Mailing Address - Phone:706-863-7710
Mailing Address - Fax:
Practice Address - Street 1:2816 HILLCREEK DR
Practice Address - Street 2:SUITE A
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-5631
Practice Address - Country:US
Practice Address - Phone:706-863-7710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory