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OHIO HEALTH SLEEP DIAGNOSTIC CENTER NPI 1164448783


NPI Information

NPI: 1164448783
Provider Name: OHIO HEALTH SLEEP DIAGNOSTIC CENTER

Doing Business As: EASTSIDE SLEEP DIAGNOSTIC CENTER

Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

CLIA Number: 36D1076867

Address:
99 N BRICE RD
COLUMBUS, OH
ZIP 43213
Phone: (614) 866-8200
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OHIO HEALTH SLEEP DIAGNOSTIC CENTER is a sleep disorder diagnostic clinic center in Columbus, OH. OHIO HEALTH SLEEP DIAGNOSTIC CENTER NPI is 1164448783. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastside Sleep Diagnostic Center.

The provider's business location address is:

99 N BRICE RD
COLUMBUS, OH
ZIP 43213
Phone: (614) 866-8200
Fax: (614) 235-5194

The provider's authorized official is Gautam Samadder .
The authorized official title is President and has the following contact phone number (614) 866-8200.

The CLIA number assigned to this NPI record is 36D1076867 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/15/2006 and was last updated on 8/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS1200XClinic/CenterSleep Disorder DiagnosticYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12563220MEDICAIDOHIO
2OHID00591MEDICARE ID-TYPE UNSPECIFIEDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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