# MAYSVILLE DIAGNOSTIC CENTER SLEEP LAB

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MAYSVILLE DIAGNOSTIC CENTER LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922269224
- **Legal business name:** MAYSVILLE DIAGNOSTIC CENTER LLC
- **Authorized official:** JEFF W FRITZ (DIRECTOR)
- **Authorized official phone:** (606) 759-9353

## Contact information

- **Practice address:** 901 KENTON STATION DR, MAYSVILLE, KY 41056-9609
- **Practice address phone:** (606) 759-0073
- **Practice address fax:** (606) 759-0075
- **Mailing address:** 910 KENTON STATION DR, SUITE E, MAYSVILLE, KY 41056-9658
- **Mailing address phone:** (606) 759-0073
- **Mailing address fax:** (606) 759-0075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | 730122 | KY | Yes |

## Other

- **Enumeration date:** 06/19/2008
- **Last updated:** 06/24/2008