Provider Demographics
NPI:1336268739
Name:REST TECHNOLOGIES OF CENTRAL OHIO, L.L.C.
Entity type:Organization
Organization Name:REST TECHNOLOGIES OF CENTRAL OHIO, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS-OHIO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CRT, RCP, RPSGT
Authorized Official - Phone:740-277-8727
Mailing Address - Street 1:1249 HILL RD N
Mailing Address - Street 2:SUITE E
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8875
Mailing Address - Country:US
Mailing Address - Phone:740-407-3298
Mailing Address - Fax:740-205-2862
Practice Address - Street 1:1249 HILL RD N
Practice Address - Street 2:SUITE E
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-8875
Practice Address - Country:US
Practice Address - Phone:740-407-3298
Practice Address - Fax:740-205-2862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic