Healthcare Provider Details
I. General information
NPI: 1285785204
Provider Name (Legal Business Name): TOTAL SLEEP HOLDINGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8355 ROCKVILLE RD SUITE B
INDIANAPOLIS IN
46234-2722
US
IV. Provider business mailing address
13284 POND SPRINGS RD SUITE 302
AUSTIN TX
78729-7177
US
V. Phone/Fax
- Phone: 317-585-9137
- Fax:
- Phone: 512-485-7150
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTINE
ALBANESE
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 512-485-7150