Provider Demographics
NPI:1215160486
Name:FRONTIER DIAGNOSTIC SLEEP CENTER LLC
Entity type:Organization
Organization Name:FRONTIER DIAGNOSTIC SLEEP CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/VICE PRES.
Authorized Official - Prefix:
Authorized Official - First Name:SYDNEY
Authorized Official - Middle Name:E
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-784-3040
Mailing Address - Street 1:8425 F ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-1628
Mailing Address - Country:US
Mailing Address - Phone:402-392-9947
Mailing Address - Fax:402-339-9455
Practice Address - Street 1:8425 F STREET
Practice Address - Street 2:SUITE B
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1628
Practice Address - Country:US
Practice Address - Phone:402-392-9947
Practice Address - Fax:402-339-9455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-03
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NENA1528Medicare UPIN