Provider Demographics
NPI:1861039141
Name:SOMNOTEK, LLC
Entity Type:Organization
Organization Name:SOMNOTEK, LLC
Other - Org Name:SOMNOTEK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL BRADBURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-796-3227
Mailing Address - Street 1:435 LANCASTER ST STE 211
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-4397
Mailing Address - Country:US
Mailing Address - Phone:508-796-3227
Mailing Address - Fax:
Practice Address - Street 1:435 LANCASTER ST STE 211
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-4397
Practice Address - Country:US
Practice Address - Phone:508-796-3227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-05
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Single Specialty
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty