Provider Demographics
NPI:1073701827
Name:LIMESTONE DIAGNOSTIC CENTER, LLC
Entity Type:Organization
Organization Name:LIMESTONE DIAGNOSTIC CENTER, LLC
Other - Org Name:THE OAKS SLEEP CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:FILLMORE
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-257-7617
Mailing Address - Street 1:110 UNIVERSITY PKWY STE 1
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-7338
Mailing Address - Country:US
Mailing Address - Phone:423-262-8384
Mailing Address - Fax:
Practice Address - Street 1:110 UNIVERSITY PKWY STE 1
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-7338
Practice Address - Country:US
Practice Address - Phone:423-262-8384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic