LOUISVILLE SLEEP DISORDER CENTER LLC NPI 1659391563

NPI Information

NPI: 1659391563
Provider Name: LOUISVILLE SLEEP DISORDER CENTER LLC

Doing Business As: AMERICAN SLEEP MEDICINE

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

Specialization: Sleep Disorder Diagnostic

Address:
4010 DUPONT CIRCLE
SUITE 122
LOUISVILLE, KY
ZIP 40017
Phone: (502) 899-9199
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LOUISVILLE SLEEP DISORDER CENTER LLC is a sleep disorder diagnostic clinic center in Louisville, KY. LOUISVILLE SLEEP DISORDER CENTER LLC NPI is 1659391563. The provider is registered as an organization entity type.
The provider Is Doing Business As American Sleep Medicine.

The provider's business location address is:

4010 DUPONT CIRCLE
SUITE 122
LOUISVILLE, KY
ZIP 40017-842
Phone: (502) 899-9199
Fax: (502) 899-1617

The provider's authorized official is Jim Evanger .
The authorized official title is President and has the following contact phone number (904) 517-5500.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 1/22/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic	730067	KENTUCKY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9369701	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	MEDICARE ID NUMBER
2	5005511	OTHER	KENTUCKY	KY PASSPORT ID NUMBER
3	65941007	MEDICAID	KENTUCKY
4	P00077209	OTHER	KENTUCKY	MEDICARE RR ID NUMBER

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: 4/28/2024

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