Provider Demographics
NPI:1114967338
Name:SLEEPCARE DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:SLEEPCARE DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:SNIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-459-7750
Mailing Address - Street 1:4780 SOCIALVILLE FOSTER RD
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-8265
Mailing Address - Country:US
Mailing Address - Phone:513-459-7750
Mailing Address - Fax:513-459-8030
Practice Address - Street 1:4780 SOCIALVILLE FOSTER RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-8265
Practice Address - Country:US
Practice Address - Phone:513-459-7750
Practice Address - Fax:513-459-8030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1024131OtherACM - WEST
000000011747OtherBCBS - OH
1023783OtherACM - MASON
1024128OtherACM - EASTGATE
OH2354063Medicaid
=========005OtherMEDICAL MUTUAL OF OHIO
OH2354063Medicaid
OH2354063Medicaid