Provider Demographics
NPI:1982818761
Name:TOTAL SLEEP DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:TOTAL SLEEP DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:GUIDETTI
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:469-499-2876
Mailing Address - Street 1:1425 GREENWAY DRIVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-3265
Mailing Address - Country:US
Mailing Address - Phone:469-499-2834
Mailing Address - Fax:469-499-2806
Practice Address - Street 1:1425 GREENWAY DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-2486
Practice Address - Country:US
Practice Address - Phone:469-499-5249
Practice Address - Fax:985-626-6227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2011-04-05
Deactivation Date:2011-01-11
Deactivation Code:
Reactivation Date:2011-02-16
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAG3287OtherBCBS PROVIDER NUMBER