Provider Demographics
NPI:1427051283
Name:SLEEPCARE DIAGNOSTICS, INC.
Entity type:Organization
Organization Name:SLEEPCARE DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:SNIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-459-7750
Mailing Address - Street 1:4780 SOCIALVILLE FOSTER RD
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-8265
Mailing Address - Country:US
Mailing Address - Phone:513-459-7750
Mailing Address - Fax:513-459-8030
Practice Address - Street 1:4780 SOCIALVILLE FOSTER RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-8265
Practice Address - Country:US
Practice Address - Phone:513-459-7750
Practice Address - Fax:513-459-8030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNA261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2354063Medicaid
5459138OtherAETNA
DB6698OtherMEDICARE RAILROAD
OH2650162Medicaid
000000011746OtherBCBS - OH
=========006OtherMEDICAL MUTUAL OF OHIO
OH2650162Medicaid
5459138OtherAETNA
OH9261352Medicare ID - Type Unspecified