1326089491 NPI number — SLEEPCARE DIAGNOSTICS, INC.

Table of content: (NPI 1326089491)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326089491 NPI number — SLEEPCARE DIAGNOSTICS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLEEPCARE DIAGNOSTICS, INC.
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:
6
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:
1326089491
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6003 HONORE AVE
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
SARASOTA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34238-5716
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
941-927-9686
Provider Business Mailing Address Fax Number:
941-927-9799

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6003 HONORE AVE
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
SARASOTA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34238-5716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-927-9686
Provider Business Practice Location Address Fax Number:
941-927-9799
Provider Enumeration Date:
06/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SNIDER
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
C
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
513-459-7750

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  1312878 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1029652 . This is a "UHC/ACM PROVIDER NUMBER" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com