Provider Demographics
NPI:1356352124
Name:SLEEP DIAGNOSTICS, INC.
Entity type:Organization
Organization Name:SLEEP DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SCHIAVON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-449-8999
Mailing Address - Street 1:900 N MONTANA AVE
Mailing Address - Street 2:SUITE A9
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3845
Mailing Address - Country:US
Mailing Address - Phone:406-449-8999
Mailing Address - Fax:406-449-8989
Practice Address - Street 1:900 N MONTANA AVE
Practice Address - Street 2:SUITE A9
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3845
Practice Address - Country:US
Practice Address - Phone:406-449-8999
Practice Address - Fax:406-449-8989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000760071Medicaid
MT000092305OtherBLUE CROSS/ BLUE SHIELD
MT000083130Medicare ID - Type Unspecified