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NPI Code Detail

MEDICARE: ADVANCED SLEEP DIAGNOSTICS, INC.

MEDICARE: ADVANCED SLEEP DIAGNOSTICS, 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
1261QS1200XSleep Disorder Diagnostic Clinic/CenterN/A

General Provider Information

NPI Number : 1699929992
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED SLEEP DIAGNOSTICS, INC.
Provider Business Mailing Address
First Line : 550 N SPRING ST
Second Line :
City : SPARTA
State : TN
Zip : 38583-1330
Country : US
Telephone Number : 931-837-3336
Fax Number : 931-837-3347
Provider Business Practice Location Address
First Line : 550 N SPRING ST
Second Line :
City : SPARTA
State : TN
Zip : 38583-1330
Country : US
Telephone Number : 931-837-3336
Fax Number : 931-837-3347
Authorized Official
Title or Position : PRESIDENT / CEO
Name : REED HOWELL
Credential :
Telephone Number : 931-837-3336
Provider Enumeration Date : 11/13/2008
Last Update Date : 11/13/2008

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