Provider Demographics
NPI:1578513263
Name:SLEEPCARE DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:SLEEPCARE DIAGNOSTICS, INC.
Other - Org Name:SLEEPCARE DIAGNSOTICS - SARASOTA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:SNIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-459-7750
Mailing Address - Street 1:6003 HONORE AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-5716
Mailing Address - Country:US
Mailing Address - Phone:941-927-9686
Mailing Address - Fax:941-927-9799
Practice Address - Street 1:6003 HONORE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-5716
Practice Address - Country:US
Practice Address - Phone:941-927-9686
Practice Address - Fax:941-927-9799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6916261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00314215Medicare ID - Type UnspecifiedRAILROAD MEDICARE
FLU7461Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER