=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841475043
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TESTSMARTER INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/07/2008
-----------------------------------------------------
Last Update Date | 04/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 301 NW COLE TER STE 103
-----------------------------------------------------
City | LAKE CITY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32055-9302
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 386-752-6700
-----------------------------------------------------
Fax | 386-752-6709
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 301 NW COLE TER STE 103
-----------------------------------------------------
City | LAKE CITY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32055-9302
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 386-752-6700
-----------------------------------------------------
Fax | 386-752-6709
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | WILLIAM B WOMBLE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 386-382-4200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QS1200X
-----------------------------------------------------
Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
-----------------------------------------------------
License Number | HCC7963
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------