Organization Name: | SLEEP DIAGNOSTICS CENTER LLC |
NPI Number: | 1063503332 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH PARKER POTELUNAS (PRESIDENT) |
Mailing Address: | 1000 Meade St Ste 202 Dunmore |
State: | PA US |
Postal Code: | 185123197 |
Phone Number: | 5703420800 |
Fax Number: | 5709691200 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 03/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |