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SLEEP CARE CLINIC LLC NPI 1922770379


NPI Information

NPI: 1922770379
Provider Name: SLEEP CARE CLINIC LLC

Doing Business As: SLEEP CARE CLINIC

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

Specialization: Sleep Disorder Diagnostic

Address:
7600 FERN AVE STE 700A
SHREVEPORT, LA
ZIP 71105
Phone: (318) 657-0187
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SLEEP CARE CLINIC LLC is a sleep disorder diagnostic clinic center in Shreveport, LA. SLEEP CARE CLINIC LLC NPI is 1922770379. The provider is registered as an organization entity type.
The provider Is Doing Business As Sleep Care Clinic.

The provider's business location address is:

7600 FERN AVE STE 700A
SHREVEPORT, LA
ZIP 71105-673
Phone: (318) 657-0187
Fax: (509) 426-2160

The provider's authorized official is Brenda Roberts .
The authorized official title is Billing And Credentialing and has the following contact phone number (318) 381-4759.

The enumeration date for this NPI number is 10/4/2021 and was last updated on 4/8/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2261QS1200XClinic/CenterSleep Disorder DiagnosticYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13604116MEDICAIDLOUISIANA

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: 4/28/2024

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