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	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1356509103
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL SLEEP HOLDINGS INC

Provider Business Mailing Address
First Line	:	8355 ROCKVILLE RD
Second Line	:	STE B
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46234-2722
Country	:	US
Telephone Number	:	317-585-9137
Fax Number	:	317-585-9159

Provider Business Practice Location Address
First Line	:	8355 ROCKVILLE RD
Second Line	:	STE B
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46234-2722
Country	:	US
Telephone Number	:	317-585-9137
Fax Number	:	317-585-9159

Authorized Official
Title or Position	:	CEO
Name	:	WILLIAM J GUIDETTI
Credential	:
Telephone Number	:	469-499-2857

Provider Enumeration Date	:	05/29/2008
Last Update Date	:	07/30/2009

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