Provider Demographics
NPI:1265764997
Name:PROFESSIONAL SLEEP DIAGNOSTICS
Entity type:Organization
Organization Name:PROFESSIONAL SLEEP DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARGER
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:800-486-2620
Mailing Address - Street 1:7200 CORPORATE CENTER DR
Mailing Address - Street 2:SUITE #600
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1200
Mailing Address - Country:US
Mailing Address - Phone:305-500-2000
Mailing Address - Fax:305-500-2155
Practice Address - Street 1:1771 TATE BLVD SE
Practice Address - Street 2:SUITE #102
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-4249
Practice Address - Country:US
Practice Address - Phone:828-485-2955
Practice Address - Fax:828-485-2957
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROFESSIONAL SLEEP DIAGNOSTICS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-05
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic