Provider Demographics
NPI:1700118445
Name:PROFESSIONAL SLEEP DIAGNOSTICS, INC
Entity Type:Organization
Organization Name:PROFESSIONAL SLEEP DIAGNOSTICS, INC
Other - Org Name:PROFESSIONAL SLEEP DIAGNOSTICS - PROCTORVILLE
Other - Org Type:Other Name
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 1:5897 COUNTY ROAD 107
Practice Address - Street 2:
Practice Address - City:PROCTORVILLE
Practice Address - State:OH
Practice Address - Zip Code:45669-8852
Practice Address - Country:US
Practice Address - Phone:888-319-0202
Practice Address - Fax:304-254-8802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
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