Organization
PHYSICIAN SLEEP DIAGNOSTIC CENTERS NORTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY CARR (SECRETARY)
(937) 610-0105
Entity
Organization
Contact information
Practice address
8701 OLD TROY PIKE, SUITE 210, HUBER HEIGHTS, OH 45424-1066
(937) 610-0105
(937) 610-0109
Mailing address
7756 WASHINGTON VILLAGE DR, SUITE A, CENTERVILLE, OH 45459-3953
(937) 610-0105
(937) 610-0109
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2009
Last updated
03/22/2011
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