Healthcare Provider Details

I. General information

NPI: 1457992604
Provider Name (Legal Business Name): BIOSERENITY USA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2019
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N HAVEN ST STE 203
BALTIMORE MD
21224-1636
US

IV. Provider business mailing address

PO BOX 454
READING MA
01867-0854
US

V. Phone/Fax

Practice location:
  • Phone: 410-590-0443
  • Fax: 866-216-5200
Mailing address:
  • Phone: 972-782-9968
  • Fax: 978-536-6351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: STEVE FELDMAN
Title or Position: PRESIDENT
Credential:
Phone: 321-821-2032