Provider Demographics
NPI:1780832048
Name:NATIONWIDE SLEEP DIAGNOSTICS, LLC
Entity type:Organization
Organization Name:NATIONWIDE SLEEP DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FALKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-810-5975
Mailing Address - Street 1:477 CONGRESS ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-3427
Mailing Address - Country:US
Mailing Address - Phone:800-285-2529
Mailing Address - Fax:888-796-4915
Practice Address - Street 1:477 CONGRESS ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-3427
Practice Address - Country:US
Practice Address - Phone:800-285-2529
Practice Address - Fax:888-796-4915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory