Healthcare Provider Details

I. General information

NPI: 1700969599
Provider Name (Legal Business Name): SOMNIUM DIAGNOSTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 WEST JUBAL EARLY DRIVE SUITE 120
WINCHESTER VA
22601
US

IV. Provider business mailing address

813 NORTH LOUDOUN STREET
WINCHESTER VA
22601-4947
US

V. Phone/Fax

Practice location:
  • Phone: 540-722-8180
  • Fax: 540-722-8182
Mailing address:
  • Phone: 540-722-8180
  • Fax: 540-722-8182

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. SHAWN M STEFFEY
Title or Position: MANAGER
Credential: RRT
Phone: 540-722-8180