Provider Demographics
NPI:1487495826
Name:REM SLEEP LAB
Entity type:Organization
Organization Name:REM SLEEP LAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERS
Authorized Official - Suffix:
Authorized Official - Credentials:CRT-RPSGT
Authorized Official - Phone:618-882-8955
Mailing Address - Street 1:10850 LINCOLN TRL UNIT 16
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:62208-2026
Mailing Address - Country:US
Mailing Address - Phone:618-882-8955
Mailing Address - Fax:
Practice Address - Street 1:17920 SAINT ROSE RD APT A
Practice Address - Street 2:
Practice Address - City:BREESE
Practice Address - State:IL
Practice Address - Zip Code:62230-2513
Practice Address - Country:US
Practice Address - Phone:618-882-8955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic