Provider Demographics
NPI:1033387022
Name:DIAMOND SLEEP CENTER, INC
Entity Type:Organization
Organization Name:DIAMOND SLEEP CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BOVARD
Authorized Official - Suffix:
Authorized Official - Credentials:CRT, RPSGT
Authorized Official - Phone:724-524-1270
Mailing Address - Street 1:PO BOX 821
Mailing Address - Street 2:
Mailing Address - City:SAXONBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16056-0821
Mailing Address - Country:US
Mailing Address - Phone:724-524-1270
Mailing Address - Fax:724-524-1270
Practice Address - Street 1:333 WEST MAIN STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:SAXONBURG
Practice Address - State:PA
Practice Address - Zip Code:16056-0821
Practice Address - Country:US
Practice Address - Phone:724-524-1270
Practice Address - Fax:724-524-1270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic