# PHYSICIAN SLEEP DIAGNOSTIC CENTERS NORTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194958447
- **Authorized official:** MR. JERRY CARR (SECRETARY)
- **Authorized official phone:** (937) 610-0105

## Contact information

- **Practice address:** 8701 OLD TROY PIKE, SUITE 210, HUBER HEIGHTS, OH 45424-1066
- **Practice address phone:** (937) 610-0105
- **Practice address fax:** (937) 610-0109
- **Mailing address:** 7756 WASHINGTON VILLAGE DR, SUITE A, CENTERVILLE, OH 45459-3953
- **Mailing address phone:** (937) 610-0105
- **Mailing address fax:** (937) 610-0109

## Taxonomy

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

## Other

- **Enumeration date:** 09/02/2009
- **Last updated:** 03/22/2011