MEDICARE: SLEEPMED, 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

General Provider Information

NPI Number	:	1316150733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEPMED, INC

Provider Business Mailing Address
First Line	:	700 GERVAIS ST
Second Line	:	SUITE 210
City	:	COLUMBIA
State	:	SC
Zip	:	29201-3047
Country	:	US
Telephone Number	:	978-536-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	2829 U.S. HIGHWAY 76 EAST
Second Line	:
City	:	MARION
State	:	SC
Zip	:	29571
Country	:	US
Telephone Number	:	843-431-2504
Fax Number	:

Authorized Official
Title or Position	:	EVP-CFO
Name	:	CARL R IBERGER
Credential	:
Telephone Number	:	978-536-7400

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	10/19/2009

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