MEDICARE: TOTAL SLEEP DIAGNOSTICS OF INDIANA, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	247200000X	Other Technician
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1457564098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL SLEEP DIAGNOSTICS OF INDIANA, INC

Provider Business Mailing Address
First Line	:	4 SAINT ANN DR
Second Line	:
City	:	MANDEVILLE
State	:	LA
Zip	:	70471-3265
Country	:	US
Telephone Number	:	985-626-6211
Fax Number	:	985-626-6227

Provider Business Practice Location Address
First Line	:	6957 HILLSDALE CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2054
Country	:	US
Telephone Number	:	317-585-9145
Fax Number	:	317-585-9156

Authorized Official
Title or Position	:	AR DIRECTOR
Name	:	BETSY RIVAS
Credential	:
Telephone Number	:	985-626-6211

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	09/11/2025

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