Provider Demographics
NPI:1730321068
Name:ADVANCED SLEEP DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:ADVANCED SLEEP DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:REED
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-836-3336
Mailing Address - Street 1:550 N SPRING ST
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:TN
Mailing Address - Zip Code:38583-1330
Mailing Address - Country:US
Mailing Address - Phone:931-836-3336
Mailing Address - Fax:615-348-1017
Practice Address - Street 1:754 N MOUNT JULIET RD
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3323
Practice Address - Country:US
Practice Address - Phone:866-317-5337
Practice Address - Fax:615-348-1017
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED SLEEP DIAGNOSTICS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic