Provider Demographics
NPI:1326423641
Name:UNITED SLEEP DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:UNITED SLEEP DIAGNOSTICS, INC.
Other - Org Name:UNITED NEURO DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:FALGOUST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-711-1299
Mailing Address - Street 1:50 ROSE PL
Mailing Address - Street 2:2ND FLR
Mailing Address - City:GARDEN CITY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-5312
Mailing Address - Country:US
Mailing Address - Phone:866-711-1299
Mailing Address - Fax:888-539-3001
Practice Address - Street 1:1 SMITH STREET
Practice Address - Street 2:STE100
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-7146
Practice Address - Country:US
Practice Address - Phone:866-711-1299
Practice Address - Fax:888-539-3001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIU300218455Medicare PIN