Provider Demographics
NPI:1669609228
Name:ISN SLEEP CENTER OF COLUMBIA LLC
Entity type:Organization
Organization Name:ISN SLEEP CENTER OF COLUMBIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRITI
Authorized Official - Middle Name:
Authorized Official - Last Name:PANDYA-PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-494-3030
Mailing Address - Street 1:9354 TWO NOTCH RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-6416
Mailing Address - Country:US
Mailing Address - Phone:732-494-3030
Mailing Address - Fax:732-452-9010
Practice Address - Street 1:9354 TWO NOTCH RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-6416
Practice Address - Country:US
Practice Address - Phone:732-494-3030
Practice Address - Fax:732-452-9010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic