MEDICARE: SLEEP NETWORK OF TOLEDO 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	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1639290349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP NETWORK OF TOLEDO INC

Provider Business Mailing Address
First Line	:	3450 W CENTRAL AVE
Second Line	:	SUITE 118
City	:	TOLEDO
State	:	OH
Zip	:	43606-1416
Country	:	US
Telephone Number	:	419-535-9282
Fax Number	:

Provider Business Practice Location Address
First Line	:	4041 W SYLVANIA AVE
Second Line	:	SUITE 202
City	:	TOLEDO
State	:	OH
Zip	:	43623-4465
Country	:	US
Telephone Number	:	419-292-1616
Fax Number	:

Authorized Official
Title or Position	:	SEC TREASURER
Name	:	MR. ROBERT H DRAGER
Credential	:
Telephone Number	:	419-535-9282

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	12/02/2009

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Directions to “SLEEP NETWORK OF TOLEDO INC ” Practice Location

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