SLEEP DIAGNOSTICS LLC NPI 1659318574

NPI Information

NPI: 1659318574
Provider Name: SLEEP DIAGNOSTICS, LLC

Doing Business As: THE REGGIE WHITE SLEEP DISORDER CENTER - DESOTO

Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
7600 AIRWAYS BLVD
STE G
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 349-9802
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SLEEP DIAGNOSTICS, LLC is a sleep disorder diagnostic clinic center in Southaven, MS. SLEEP DIAGNOSTICS, LLC NPI is 1659318574. The provider is registered as an organization entity type.
The provider Is Doing Business As The Reggie White Sleep Disorder Center - Desoto.

The provider's business location address is:

7600 AIRWAYS BLVD
STE G
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 349-9802
Fax: (669) 349-9810

The provider's authorized official is Derek Evin Denman .
The authorized official title is Ceo/president and has the following contact phone number (901) 246-0767.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 12/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic	2068	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	470000074	MEDICARE PIN	MISSISSIPPI
2	03003864	MEDICAID	MISSISSIPPI
3	Y53584	MEDICARE UPIN	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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