Provider Demographics
NPI:1891069845
Name:BRIAN SCOTT COLEMAN
Entity Type:Organization
Organization Name:BRIAN SCOTT COLEMAN
Other - Org Name:SLEEP TIGHT DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-619-5495
Mailing Address - Street 1:PO BOX 1538
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40476-1538
Mailing Address - Country:US
Mailing Address - Phone:859-619-5495
Mailing Address - Fax:
Practice Address - Street 1:4460 STUART HALL BLVD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-4504
Practice Address - Country:US
Practice Address - Phone:859-619-5495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic