Provider Demographics
NPI:1396106597
Name:SAVANNAH IMAGING ANESTHESIA AND SLEEP DIAGNOSTICS LLC
Entity type:Organization
Organization Name:SAVANNAH IMAGING ANESTHESIA AND SLEEP DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR./MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHNABEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:912-354-1366
Mailing Address - Street 1:836 E. 65TH ST.
Mailing Address - Street 2:9A
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405
Mailing Address - Country:US
Mailing Address - Phone:912-354-1366
Mailing Address - Fax:912-354-0516
Practice Address - Street 1:836 E 65TH ST
Practice Address - Street 2:9A MEDICAL ARTS CENTER
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4434
Practice Address - Country:US
Practice Address - Phone:912-354-1366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-15
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier