MEDICARE: TOTAL SLEEP HOLDINGS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1245356609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL SLEEP HOLDINGS, INC.

Provider Business Mailing Address
First Line	:	13284 POND SPRINGS RD
Second Line	:	SUITE 302
City	:	AUSTIN
State	:	TX
Zip	:	78729-7177
Country	:	US
Telephone Number	:	512-485-7150
Fax Number	:

Provider Business Practice Location Address
First Line	:	6447 S EAST ST
Second Line	:	SUITE C
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-2118
Country	:	US
Telephone Number	:	317-585-9137
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	CHRISTINE ALBANESE
Credential	:
Telephone Number	:	512-485-7150

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	08/22/2020

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