Provider Demographics
NPI: | 1588856280 |
---|---|
Name: | SOMNITECH INC |
Entity type: | Organization |
Organization Name: | SOMNITECH INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT & CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LEWIS |
Authorized Official - Middle Name: | P |
Authorized Official - Last Name: | ZEIDNER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 763-432-8401 |
Mailing Address - Street 1: | PO BOX 419380 |
Mailing Address - Street 2: | DEPT 701 |
Mailing Address - City: | KANSAS CITY |
Mailing Address - State: | MO |
Mailing Address - Zip Code: | 64141-6380 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 913-744-3533 |
Mailing Address - Fax: | 913-498-8384 |
Practice Address - Street 1: | 14225 UNIVERSITY AVE |
Practice Address - Street 2: | |
Practice Address - City: | WAUKEE |
Practice Address - State: | IA |
Practice Address - Zip Code: | 50263-8294 |
Practice Address - Country: | US |
Practice Address - Phone: | 515-226-0900 |
Practice Address - Fax: | 515-226-0662 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-08-16 |
Last Update Date: | 2011-01-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QS1200X | Ambulatory Health Care Facilities | Clinic/Center | Sleep Disorder Diagnostic |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
IA | I14770 | Medicare PIN |