Healthcare Provider Details

I. General information

NPI: 1306222351
Provider Name (Legal Business Name): ALLIED HOME DIAGNOSTICS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2015
Last Update Date: 07/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133 CORPORATE DR SUITE B
HOLLAND OH
43528-7405
US

IV. Provider business mailing address

1133 CORPORATE DR SUITE B
HOLLAND OH
43528-7405
US

V. Phone/Fax

Practice location:
  • Phone: 877-376-7573
  • Fax: 877-605-4258
Mailing address:
  • Phone: 877-376-7573
  • Fax: 877-605-4258

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: MR. THOMAS LEFFLER
Title or Position: PRESIDENT
Credential:
Phone: 419-882-9870