Provider Demographics
NPI:1225448731
Name:HOME SLEEP DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:HOME SLEEP DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:ASHTON
Authorized Official - Last Name:ROHRBACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-553-3575
Mailing Address - Street 1:336 VILLAGE PKWY
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-2535
Mailing Address - Country:US
Mailing Address - Phone:859-553-3575
Mailing Address - Fax:
Practice Address - Street 1:336 VILLAGE PKWY
Practice Address - Street 2:
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-2535
Practice Address - Country:US
Practice Address - Phone:859-553-3575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic