1972803203 NPI number — LEHIGH VALLEY SLEEP DIAGNOSTICS LLC

Table of content: CHELSEA NICOLE SIMPSON MD (NPI 1376302950)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972803203 NPI number — LEHIGH VALLEY SLEEP DIAGNOSTICS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEHIGH VALLEY SLEEP 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:
1972803203
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/18/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3420 WALBERT AVE
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
ALLENTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18104-1700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-841-0400
Provider Business Mailing Address Fax Number:
610-841-0403

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3420 WALBERT AVE
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18104-1700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-841-0400
Provider Business Practice Location Address Fax Number:
610-841-0403
Provider Enumeration Date:
11/03/2010

Additional Information

Authorized Official

Authorized Official Last Name:
SCHANTZ
Authorized Official First Name:
KELLY
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF OPERATIONS
Authorized Official Telephone Number:
610-841-0400

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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