Healthcare Provider Details

I. General information

NPI: 1225364367
Provider Name (Legal Business Name): TOTAL SLEEP SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2009
Last Update Date: 10/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6957 HILLSDALE CT
INDIANAPOLIS IN
46250-2054
US

IV. Provider business mailing address

1425 GREENWAY DR STE 300
IRVING TX
75038-2447
US

V. Phone/Fax

Practice location:
  • Phone: 317-585-9137
  • Fax:
Mailing address:
  • Phone: 469-499-2857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM J GUIDETTI
Title or Position: CEO
Credential:
Phone: 469-499-2857