Provider Demographics
NPI:1972706893
Name:SLEEP HEALTH DIAGNOSTICS, LLC.
Entity Type:Organization
Organization Name:SLEEP HEALTH DIAGNOSTICS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF BILLING & REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:P
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:FRASURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-573-9075
Mailing Address - Street 1:8999 GEMINI PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-2250
Mailing Address - Country:US
Mailing Address - Phone:614-573-9075
Mailing Address - Fax:855-888-6947
Practice Address - Street 1:410 PEACHTREE PKWY
Practice Address - Street 2:SUITE 4232
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7066
Practice Address - Country:US
Practice Address - Phone:770-886-3991
Practice Address - Fax:770-886-3991
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOOD NIGHT MEDICAL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-07
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA47BBBFTMedicare ID - Type Unspecified