Provider Demographics
NPI:1457383747
Name:DIAGNOSTIC SLEEP SOLUTIONS, LLC
Entity Type:Organization
Organization Name:DIAGNOSTIC SLEEP SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:EMRICK
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:308-633-7378
Mailing Address - Street 1:15 E 27TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-4352
Mailing Address - Country:US
Mailing Address - Phone:308-633-7378
Mailing Address - Fax:308-633-7379
Practice Address - Street 1:15 E 27TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-4352
Practice Address - Country:US
Practice Address - Phone:308-633-7378
Practice Address - Fax:308-633-7379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NENA2366001OtherMEDICARE ID PTAN
NE100252162-00Medicaid
WY121853100Medicaid