Healthcare Provider Details

I. General information

NPI: 1649203399
Provider Name (Legal Business Name): SOMNOGRAPH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 LOMBARD ST SUITE 100
PHILADELPHIA PA
19146-8400
US

IV. Provider business mailing address

1841 N ROCK ROAD CT SUITE 100
WICHITA KS
67206-4202
US

V. Phone/Fax

Practice location:
  • Phone: 215-893-2424
  • Fax: 215-893-7220
Mailing address:
  • Phone: 316-616-6160
  • Fax: 316-616-6161

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: DUKE C NAIPOHN
Title or Position: OWNER/CEO
Credential:
Phone: 316-683-2323