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NPI Code Detail

MEDICARE: SLEEP DIAGNOSTICS CENTER, LLC

MEDICARE: SLEEP DIAGNOSTICS CENTER, LLC
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
1261QS1200XSleep Disorder Diagnostic Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14004810OTHERTNBCBS PROVIDER NUMBER

General Provider Information

NPI Number : 1235200916
Entity Type Code : Organization
Provider Name (Legal Business Name) : SLEEP DIAGNOSTICS CENTER, LLC
Provider Business Mailing Address
First Line : 11 E MAIN ST
Second Line :
City : HOHENWALD
State : TN
Zip : 38462-1419
Country : US
Telephone Number : 931-796-5600
Fax Number : 931-796-5601
Provider Business Practice Location Address
First Line : 625 W MAIN ST
Second Line :
City : HOHENWALD
State : TN
Zip : 38462-1355
Country : US
Telephone Number : 931-796-2125
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MR. NICHOLAS WARD RAMEY
Credential :
Telephone Number : 931-796-5600
Provider Enumeration Date : 11/13/2006
Last Update Date : 08/22/2020

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Directions to “SLEEP DIAGNOSTICS CENTER, LLC ” Practice Location

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