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NPI Code Detail

MEDICARE: SLEEP-EZ DIAGNOSTIC SLEEP CENTERS, LLC

MEDICARE: SLEEP-EZ DIAGNOSTIC SLEEP CENTERS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RS0012XSleep Medicine (Internal Medicine) Physician

General Provider Information

NPI Number : 1649308396
Entity Type Code : Organization
Provider Name (Legal Business Name) : SLEEP-EZ DIAGNOSTIC SLEEP CENTERS, LLC
Provider Business Mailing Address
First Line : 1161 RED BIRD RD
Second Line :
City : LOVELAND
State : OH
Zip : 45140-7207
Country : US
Telephone Number : 513-673-5039
Fax Number : 513-791-3577
Provider Business Practice Location Address
First Line : 9395 KENWOOD ROAD
Second Line : SUITE 101
City : CINCINNATI
State : OH
Zip : 45242
Country : US
Telephone Number : 513-673-5039
Fax Number : 513-791-3577
Authorized Official
Title or Position : PARTNER
Name : DR. RICHARD BRIAN BOSTER
Credential : MD
Telephone Number : 513-673-5039
Provider Enumeration Date : 03/02/2007
Last Update Date : 08/22/2020

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Directions to “SLEEP-EZ DIAGNOSTIC SLEEP CENTERS, LLC ” Practice Location

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