Healthcare Provider Details
I. General information
NPI: 1588856025
Provider Name (Legal Business Name): SOMNITECH INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/17/2007
Last Update Date: 02/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3470 NE RALPH POWELL RD SUITE A
LEE'S SUMMIT MO
64064
US
IV. Provider business mailing address
PO BOX 419380 DEPT 701
KANSAS CITY MO
64141-6380
US
V. Phone/Fax
- Phone: 913-498-8120
- Fax: 913-498-8384
- Phone: 913-744-3533
- Fax: 913-498-8384
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LEWIS
P
ZEIDNER
Title or Position: PRESIDENT & CEO
Credential:
Phone: 763-432-8401