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NPI Code Detail

MEDICARE: TOTAL SLEEP DIAGNOSTICS, INC.

MEDICARE: TOTAL SLEEP DIAGNOSTICS, 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
1261QS1200XSleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number : 1548495799
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL SLEEP DIAGNOSTICS, INC.
Provider Business Mailing Address
First Line : 1425 GREENWAY DR
Second Line : STE 300
City : IRVING
State : TX
Zip : 75038-2447
Country : US
Telephone Number : 469-499-2857
Fax Number :
Provider Business Practice Location Address
First Line : 6447 S EAST ST
Second Line : STE C
City : INDIANAPOLIS
State : IN
Zip : 46227-2118
Country : US
Telephone Number : 317-585-9137
Fax Number :
Authorized Official
Title or Position : CEO
Name : WILLIAM J GUIDETTI
Credential :
Telephone Number : 469-499-2857
Provider Enumeration Date : 05/18/2009
Last Update Date : 07/23/2009

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Directions to “TOTAL SLEEP DIAGNOSTICS, INC. ” Practice Location

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