Healthcare Provider Details

I. General information

NPI: 1457564098
Provider Name (Legal Business Name): TOTAL SLEEP DIAGNOSTICS OF INDIANA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6957 HILLSDALE CT
INDIANAPOLIS IN
46250-2054
US

IV. Provider business mailing address

4 SAINT ANN DR
MANDEVILLE LA
70471-3265
US

V. Phone/Fax

Practice location:
  • Phone: 317-585-9145
  • Fax: 317-585-9156
Mailing address:
  • Phone: 985-626-6211
  • Fax: 985-626-6227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: BETSY RIVAS
Title or Position: AR DIRECTOR
Credential:
Phone: 985-626-6211