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CARDIOSOM LLC DBA MD SLEEP OF FT. WAYNE NPI 1073510178


NPI Information

NPI: 1073510178
Provider Name: CARDIOSOM LLC DBA MD SLEEP OF FT. WAYNE
Classification: Technician, Other - 247200000X
Entity Type: Organization
Address:
1625 MAGNAVOX WAY
FT WAYNE, IN
ZIP 46804
Phone: (260) 459-9248
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CARDIOSOM LLC DBA MD SLEEP OF FT. WAYNE is a technician other in Ft Wayne, IN. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. CARDIOSOM LLC DBA MD SLEEP OF FT. WAYNE NPI is 1073510178. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1625 MAGNAVOX WAY
FT WAYNE, IN
ZIP 46804-535
Phone: (260) 459-9248
Fax: (260) 459-9247

The provider's authorized official is Kevin Paul Greisl .
The authorized official title is President and has the following contact phone number (317) 706-1080.

The enumeration date for this NPI number is 7/5/2005 and was last updated on 8/22/2020.


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
1247200000XTechnician, OtherYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.