MEDICARE: SOMNOTECH GROUP PRACTICE 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
1	207RC0001X	Clinical Cardiac Electrophysiology Physician
2	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1992595631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOMNOTECH GROUP PRACTICE LLC

Provider Business Mailing Address
First Line	:	4301 LAPALCO BLVD STE B
Second Line	:
City	:	MARRERO
State	:	LA
Zip	:	70072-4336
Country	:	US
Telephone Number	:	251-459-2445
Fax Number	:	985-231-4710

Provider Business Practice Location Address
First Line	:	4301 LAPALCO BLVD STE B
Second Line	:
City	:	MARRERO
State	:	LA
Zip	:	70072-4336
Country	:	US
Telephone Number	:	251-459-2445
Fax Number	:	985-231-4710

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRANDON MIGLIORE
Credential	:
Telephone Number	:	251-459-2445

Provider Enumeration Date	:	05/07/2025
Last Update Date	:	01/15/2026

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Directions to “SOMNOTECH GROUP PRACTICE LLC ” Practice Location

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