Healthcare Provider Details

I. General information

NPI: 1457391146
Provider Name (Legal Business Name): QUESTCARE SLEEP DIAGNOSTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7756 WASHINGTON VILLAGE DR STE A
CENTERVILLE OH
45459-3953
US

IV. Provider business mailing address

7756 WASHINGTON VILLAGE DR STE A
CENTERVILLE OH
45459-3953
US

V. Phone/Fax

Practice location:
  • Phone: 937-425-0035
  • Fax: 937-425-8959
Mailing address:
  • Phone: 937-425-0035
  • Fax: 937-425-8959

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: BRUCE FERRIS
Title or Position: ADMINISTRATOR
Credential:
Phone: 937-425-0035