Healthcare Provider Details

I. General information

NPI: 1447493291
Provider Name (Legal Business Name): ADVANCED SLEEP DIAGNOSTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2009
Last Update Date: 04/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 W KINGSTON SPRINGS RD
KINGSTON SPRINGS TN
37082-9121
US

IV. Provider business mailing address

550 N SPRING ST
SPARTA TN
38583-1330
US

V. Phone/Fax

Practice location:
  • Phone: 866-317-5337
  • Fax: 615-348-1017
Mailing address:
  • Phone: 866-317-5337
  • Fax: 615-348-1017

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: REED C HOWELL
Title or Position: PRESIDENT/CEO
Credential:
Phone: 931-836-3336