# PULMONARY MEDICINE OF DAYTON, INC

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

## Provider details

- **NPI number:** 1700916020
- **Authorized official:** KATIE ADCOCK (PRACTICE MANAGER)
- **Authorized official phone:** (937) 439-3600

## Contact information

- **Practice address:** 3535 SOUTHERN BLVD, SLEEP LAB, KETTERING, OH 45429
- **Practice address phone:** (937) 439-3600
- **Practice address fax:** (937) 439-3786
- **Mailing address:** PO BOX 933242, CLEVELAND, OH 44193-0035
- **Mailing address phone:** (937) 439-3600
- **Mailing address fax:** (937) 439-3786

## Taxonomy

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

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 05/08/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0293507 | — | OH |
| 05 | — | 0958629 | — | OH |
