MEDICARE: STEEPLECHASE DIAGNOSTIC CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205028727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEEPLECHASE DIAGNOSTIC CENTER, INC.

Provider Business Mailing Address
First Line	:	PO BOX 2569
Second Line	:
City	:	STAFFORD
State	:	TX
Zip	:	77497-2569
Country	:	US
Telephone Number	:	713-664-1330
Fax Number	:	713-664-3355

Provider Business Practice Location Address
First Line	:	1820 S MASON RD
Second Line	:	#350
City	:	KATY
State	:	TX
Zip	:	77450-6148
Country	:	US
Telephone Number	:	866-757-2687
Fax Number	:	888-757-2680

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	L E RICHEY
Credential	:	M.D.
Telephone Number	:	713-664-1330

Provider Enumeration Date	:	08/17/2007
Last Update Date	:	07/30/2009

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