Comprehensive Sleep Center, LLC

Contacts

Phone	+1 205-343-0004
Fax	2053430092

Authorized person

Name	DR. NARAYAN KRISHNAMURTHY
Role	PHYSICIAN/OWNER
Phone	2053430004

Taxonomy

Taxonomy Code	207RC0200X - Critical Care Medicine (Internal Medicine) Physician
Is Primary	No
Taxonomy Code	207RP1001X - Pulmonary Disease Physician
Is Primary	Yes
Taxonomy Code	207RS0012X - Sleep Medicine (Internal Medicine) Physician
Is Primary	No

Other Provider Identifiers

Issuer	MEDICAID
Number	137836
State	AL

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2018-01-01
Business code	621498
Sponsor’s telephone number	2053430004
Plan sponsor’s address	1406 MCFARLAND BOULEVARD NORTH, SUITE C, TUSCALOOSA, AL, 35406

Signature of

Role	Plan administrator
Date	2024-10-02
Name of individual signing	ALLISON BRECHER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621498
Sponsor’s telephone number	2053430004
Plan sponsor’s address	1406 MCFARLAND BLVD NORTH, SUITE C, TUSCALOOSA, AL, 35406

Signature of

Role	Plan administrator
Date	2023-10-11
Name of individual signing	NARAYAN KRISHNAMURTHY

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2018-01-01
Business code	621498
Sponsor’s telephone number	2053430004
Plan sponsor’s address	1406 MCFARLAND BLVD. NORTH, SUITE C, TUSCALOOSA, AL, 35406

Signature of

Role	Plan administrator
Date	2023-07-11
Name of individual signing	JOSEPH WRIGHT

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2018-01-01
Business code	621498
Sponsor’s telephone number	2053430004
Plan sponsor’s address	1406 MCFARLAND BLVD. NORTH, SUITE C, TUSCALOOSA, AL, 35406

Signature of

Role	Plan administrator
Date	2022-10-10
Name of individual signing	DR. NARAYAN KRISHNAMURTHY

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621498
Sponsor’s telephone number	2053430004
Plan sponsor’s address	1406 MCFARLAND BLVD NORTH, SUITE C, TUSCALOOSA, AL, 35406

Signature of

Role	Plan administrator
Date	2022-10-14
Name of individual signing	NARAYAN KRISHNAMURTHY

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621498
Sponsor’s telephone number	2053430004
Plan sponsor’s address	1406 MCFARLAND BLVD NORTH, SUITE C, TUSCALOOSA, AL, 35406

Signature of

Role	Plan administrator
Date	2021-09-30
Name of individual signing	NARAYAN KRISHNAMURTHY

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2018-01-01
Business code	621498
Sponsor’s telephone number	2053430004
Plan sponsor’s address	1406 MCFARLAND BLVD. NORTH, SUITE C, TUSCALOOSA, AL, 35406

Signature of

Role	Plan administrator
Date	2021-07-30
Name of individual signing	DR. NARAYAN KRISHNAMURTHY

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621498
Sponsor’s telephone number	2053430004
Plan sponsor’s address	1406 MCFARLAND BLVD NORTH, SUITE C, TUSCALOOSA, AL, 35406

Signature of

Role	Plan administrator
Date	2020-10-06
Name of individual signing	NARAYAN KRISHNAMURTHY

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2018-01-01
Business code	621498
Sponsor’s telephone number	2053430004
Plan sponsor’s address	1406 MCFARLAND BLVD. NORTH, SUITE C, TUSCALOOSA, AL, 35406

Signature of

Role	Plan administrator
Date	2020-10-06
Name of individual signing	DR. NARAYAN KRISHNAMURTHY

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2018-01-01
Business code	621498
Sponsor’s telephone number	2053430004
Plan sponsor’s address	1406 MCFARLAND BLVD. NORTH, SUITE C, TUSCALOOSA, AL, 35406

Signature of

Role	Plan administrator
Date	2019-10-04
Name of individual signing	DR. NARAYAN KRISHNAMURTHY