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	:	1629236120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL SLEEP HOLDINGS, INC

Provider Business Mailing Address
First Line	:	1900 LAMY LN
Second Line	:	STE C
City	:	MONROE
State	:	LA
Zip	:	71201-9207
Country	:	US
Telephone Number	:	318-323-0843
Fax Number	:	318-323-0839

Provider Business Practice Location Address
First Line	:	1900 LAMY LN
Second Line	:	STE C
City	:	MONROE
State	:	LA
Zip	:	71201-9207
Country	:	US
Telephone Number	:	318-323-0843
Fax Number	:	318-323-0839

Authorized Official
Title or Position	:	CEO
Name	:	WILLIAM J GUIDETTI
Credential	:
Telephone Number	:	469-499-2806

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

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