# SLEEP DIAGNOSTIC CENTER

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

## Provider details

- **NPI number:** 1558444158
- **Authorized official:** MANNA T BABU MS PHD (DIRECTOR)
- **Authorized official phone:** (302) 994-0505

## Contact information

- **Practice address:** 1903 NEWPORT GAP PIKE, SLEEP DIAGNOSTIC CENTER, WILMINGTON, DE 19808
- **Practice address phone:** (302) 994-0505
- **Practice address fax:** (302) 994-6080
- **Mailing address:** 1903 NEWPORT GAP PIKE, SLEEP DIAGNOSTIC CENTER, WILMINGTON, DE 19808
- **Mailing address phone:** (302) 994-0505
- **Mailing address fax:** (302) 994-6080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | 1997112131 | DE | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000977923 | — | DE |