# OHIO HEALTH SLEEP DIAGNOSTIC CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EASTSIDE SLEEP DIAGNOSTIC CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164448783
- **Authorized official:** GAUTAM SAMADDER MD (PRESIDENT)
- **Authorized official phone:** (614) 866-8200

## Contact information

- **Practice address:** 99 N BRICE RD, COLUMBUS, OH 43213
- **Practice address phone:** (614) 866-8200
- **Practice address fax:** (614) 235-5194
- **Mailing address:** PO BOX 634335, CINCINNATI, OH 45263-0041
- **Mailing address phone:** (614) 235-2326
- **Mailing address fax:** (614) 235-5194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 08/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2563220 | — | OH |