1144428251 NPI number — SLEEP HEALTH DIAGNOSTICS,LLC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144428251 NPI number — SLEEP HEALTH DIAGNOSTICS,LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLEEP HEALTH DIAGNOSTICS,LLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144428251
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/14/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
975 EASTWIND DR
Provider Second Line Business Mailing Address:
SUITE 165
Provider Business Mailing Address City Name:
WESTERVILLE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43081-5322
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
877-753-3742
Provider Business Mailing Address Fax Number:
855-888-6947

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
780 CANTON RD NE
Provider Second Line Business Practice Location Address:
SUITE 310
Provider Business Practice Location Address City Name:
MARIETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30060-7241
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-426-6611
Provider Business Practice Location Address Fax Number:
770-426-6611
Provider Enumeration Date:
07/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
JOLLY
Authorized Official First Name:
KATHLEEN
Authorized Official Middle Name:
Authorized Official Title or Position:
COMPLIANCE OFFICER
Authorized Official Telephone Number:
919-830-1543

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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