Provider Demographics
NPI:1245506740
Name:JD SLEEP DIAGNOSTICS LLC
Entity type:Organization
Organization Name:JD SLEEP DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:B
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-275-6600
Mailing Address - Street 1:1300 NORTH THORNTON AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-3603
Mailing Address - Country:US
Mailing Address - Phone:706-275-6600
Mailing Address - Fax:706-278-4347
Practice Address - Street 1:1300 NORTH THORNTON AVE
Practice Address - Street 2:SUITE B
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-3603
Practice Address - Country:US
Practice Address - Phone:706-275-6600
Practice Address - Fax:706-278-4347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory