Provider Demographics
NPI:1376100909
Name:UNITED SLEEP DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:UNITED SLEEP DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-442-8694
Mailing Address - Street 1:2241 N UNIVERSITY DR STE A
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3609
Mailing Address - Country:US
Mailing Address - Phone:954-442-8694
Mailing Address - Fax:954-442-8695
Practice Address - Street 1:2241 N UNIVERSITY DR STE A
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-3609
Practice Address - Country:US
Practice Address - Phone:954-442-8694
Practice Address - Fax:954-442-8695
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED SLEEP DIAGNOSTICS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic