# PHYSICIAN SLEEP DIAGNOSTIC CENTERS, LLC

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

## Provider details

- **NPI number:** 1386658490
- **Authorized official:** MR. BRUCE M. FERRIS (ADMINISTRATOR)
- **Authorized official phone:** (937) 425-0035

## Contact information

- **Practice address:** 7756 WASHINGTON VILLAGE DR, SUITE A, DAYTON, OH 45459-3953
- **Practice address phone:** (937) 425-0035
- **Practice address fax:** (937) 425-8959
- **Mailing address:** 7756 WASHINGTON VILLAGE DR, SUITE A, CENTERVILLE FINANCE, OH 45459-3953
- **Mailing address phone:** (937) 425-0035
- **Mailing address fax:** (937) 425-8959

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 08/22/2020
