Provider Demographics
NPI:1861758336
Name:SOMNOS LABORATORIES INC
Entity type:Organization
Organization Name:SOMNOS LABORATORIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:T
Authorized Official - Middle Name:TROY
Authorized Official - Last Name:STENTZ
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:308-395-0747
Mailing Address - Street 1:1101 S 70TH ST
Mailing Address - Street 2:STE 102
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4293
Mailing Address - Country:US
Mailing Address - Phone:308-395-0747
Mailing Address - Fax:308-395-0780
Practice Address - Street 1:2424 S LOCUST ST
Practice Address - Street 2:STE E
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-8269
Practice Address - Country:US
Practice Address - Phone:402-486-3410
Practice Address - Fax:402-486-3356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEHC031261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic