Provider Demographics
NPI:1558383133
Name:SECOR SLEEP DIAGNOSTIC CENTER, LLC
Entity Type:Organization
Organization Name:SECOR SLEEP DIAGNOSTIC CENTER, LLC
Other - Org Name:INSTITUTE OF SLEEP MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAEEM
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:LUGHMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-471-9757
Mailing Address - Street 1:4428 SECOR RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4264
Mailing Address - Country:US
Mailing Address - Phone:419-471-9757
Mailing Address - Fax:419-471-9778
Practice Address - Street 1:4428 SECOR RD
Practice Address - Street 2:SUITE A
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4264
Practice Address - Country:US
Practice Address - Phone:419-471-9757
Practice Address - Fax:419-471-9778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000350206OtherANTHEM
OH000000350206OtherANTHEM