| Organization Name: | PROFESSIONAL SLEEP DIAGNOSTICS, INC |
| NPI Number: | 1700118445 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN E. BARGER (VICE PRESIDENT) |
| Mailing Address: | 5897 County Road 107 Proctorville |
| State: | OH US |
| Postal Code: | 456698852 |
| Phone Number: | 8883190202 |
| Fax Number: | 3042548802 |
| NPI Enumeration Date: | 02/05/2010 |
| NPI Last Update Date: | 02/06/2013 |
| 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: | |