Organization Name: | TOTAL SLEEP DIAGNOSTICS, INC. |
NPI Number: | 1003123001 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM J GUIDETTI (CEO) |
Mailing Address: | 4445 Oak Park Ln Ste 101 Fort Worth |
State: | TX US |
Postal Code: | 761099531 |
Phone Number: | 4694992857 |
Fax Number: | 5694992806 |
NPI Enumeration Date: | 09/12/2010 |
NPI Last Update Date: | 09/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |