Provider Demographics
NPI:1568464170
Name:SLEEP DISORDERS INSTITUTE MIDWEST LLC
Entity Type:Organization
Organization Name:SLEEP DISORDERS INSTITUTE MIDWEST LLC
Other - Org Name:SLEEP DISORDERS INSTITUTE MIDWEST
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAJIV
Authorized Official - Middle Name:
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-754-3275
Mailing Address - Street 1:11881 W 112TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2717
Mailing Address - Country:US
Mailing Address - Phone:913-754-3275
Mailing Address - Fax:913-754-3276
Practice Address - Street 1:11881 W 112TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210
Practice Address - Country:US
Practice Address - Phone:913-754-3275
Practice Address - Fax:913-754-3276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-12
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic