Physician Sleep Diagnostic Centers, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

PHYSICIAN SLEEP DIAGNOSTIC CENTERS, LLC

Practice address

7756 Washington Village Dr
Suite a
Dayton, OH 45459-3953

Phone

(937) 425-0035

Fax

(937) 425-8959

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bruce M. Ferris

Title

Administrator

Phone

(937) 425-0035

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386658490",
    "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 FINANCE",
            "state": "OH",
            "postal_code": "454593953",
            "telephone_number": "937-425-0035",
            "fax_number": "937-425-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7756 WASHINGTON VILLAGE DR",
            "address_2": "SUITE A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593953",
            "telephone_number": "937-425-0035",
            "fax_number": "937-425-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN SLEEP DIAGNOSTIC CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERRIS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-425-0035",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Disorder Diagnostic Clinic/Center in Dayton, OH
• Providers in Dayton, 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 Aug 22, 2020; 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.