Healthcare Provider Details
I. General information
NPI: 1831143320
Provider Name (Legal Business Name): STHS SLEEP CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 20TH AVE. N. SUITE G-2
NASHVILLE TN
37236-0001
US
IV. Provider business mailing address
300 20TH AVENUE NORTH SUITE G-2
NASHVILLE TN
37236-0001
US
V. Phone/Fax
- Phone: 615-284-7537
- Fax: 615-284-6025
- Phone: 615-284-7537
- Fax: 615-284-6025
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
EDWARD
GIANNOTTI
JR.
Title or Position: ADMINISTRATOR
Credential:
Phone: 615-284-4543