Physician Sleep Diagnostic Centers North LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

PHYSICIAN SLEEP DIAGNOSTIC CENTERS NORTH LLC

Practice address

8701 Old Troy Pike
Suite 210
Huber Heights, OH 45424-1066

Phone

(937) 610-0105

Fax

(937) 610-0109

NPI assigned

Sep 2, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jerry Carr

Title

Secretary

Phone

(937) 610-0105

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Kettering Medical Center

  • Long Term Care Pharmacy
  • Miamisburg, OH
  • NPI 1205005063

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1194958447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7756 WASHINGTON VILLAGE DR",
            "address_2": "SUITE A",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593953",
            "telephone_number": "937-610-0105",
            "fax_number": "937-610-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 OLD TROY PIKE",
            "address_2": "SUITE 210",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241066",
            "telephone_number": "937-610-0105",
            "fax_number": "937-610-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN SLEEP DIAGNOSTIC CENTERS NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "937-610-0105",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary Elaine Phillips, R.N.
• Mallon Catherine Pittman
• Cieara Pitts, QMHS3
• Christina Therese Pitzer, L.M.T.
• Adam Plank
• Podiatry Inc

• Sleep Disorder Diagnostic Clinic/Center in Huber Heights, OH
• Providers in Huber Heights, OH by specialty
• Sleep Disorder Diagnostic Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.