| Organization Name: | PHYSICIAN SLEEP DIAGNOSTIC CENTERS NORTH LLC |
| NPI Number: | 1194958447 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JERRY CARR (SECRETARY) |
| Mailing Address: | 8701 Old Troy Pike Suite 210 Huber Heights |
| State: | OH US |
| Postal Code: | 454241066 |
| Phone Number: | 9376100105 |
| Fax Number: | 9376100109 |
| NPI Enumeration Date: | 09/02/2009 |
| NPI Last Update Date: | 03/22/2011 |
| 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: | |