Healthcare Provider Details

I. General information

NPI: 1457383747
Provider Name (Legal Business Name): DIAGNOSTIC SLEEP SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 GARDEN ARBOR CT
LAS VEGAS NV
89148-5285
US

IV. Provider business mailing address

15 E 27TH ST
SCOTTSBLUFF NE
69361-4352
US

V. Phone/Fax

Practice location:
  • Phone: 308-633-7378
  • Fax: 308-633-7379
Mailing address:
  • Phone: 308-633-7378
  • Fax: 308-633-7379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEBRA A EMRICK
Title or Position: MEMBER/PARTNER
Credential: R.PSG.T
Phone: 308-633-7378