Provider Demographics
NPI:1457564098
Name:TOTAL SLEEP DIAGNOSTICS OF INDIANA, INC
Entity Type:Organization
Organization Name:TOTAL SLEEP DIAGNOSTICS OF INDIANA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BETSY
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-626-6211
Mailing Address - Street 1:4 SAINT ANN DR
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-3265
Mailing Address - Country:US
Mailing Address - Phone:985-626-6211
Mailing Address - Fax:985-626-6227
Practice Address - Street 1:6957 HILLSDALE CT
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-2054
Practice Address - Country:US
Practice Address - Phone:317-585-9145
Practice Address - Fax:317-585-9156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies