Provider Demographics
NPI:1427054170
Name:SLEEP DISORDERS INSTITUTE NORTHEAST, L.L.C.
Entity type:Organization
Organization Name:SLEEP DISORDERS INSTITUTE NORTHEAST, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RITU
Authorized Official - Middle Name:
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-754-3275
Mailing Address - Street 1:11881 W 112TH ST
Mailing Address - Street 2:STE 101
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2717
Mailing Address - Country:US
Mailing Address - Phone:913-754-3275
Mailing Address - Fax:913-754-3276
Practice Address - Street 1:4080 LAFAYETTE CENTER DR
Practice Address - Street 2:UNIT 230
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-1218
Practice Address - Country:US
Practice Address - Phone:913-754-3275
Practice Address - Fax:913-754-3276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory