Provider Demographics
NPI:1083634836
Name:REM SLEEP DIAGNOSTICS LLC
Entity type:Organization
Organization Name:REM SLEEP DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DURAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-496-7667
Mailing Address - Street 1:P.O. BOX 1349
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77342
Mailing Address - Country:US
Mailing Address - Phone:936-436-9055
Mailing Address - Fax:936-436-9054
Practice Address - Street 1:130 MEDICAL CENTER PARKWAY
Practice Address - Street 2:SUITE 7
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340
Practice Address - Country:US
Practice Address - Phone:936-436-9055
Practice Address - Fax:936-436-9054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2008-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX530968OtherBCBS TX (DME)
TXPL7063OtherBLUECROSSBLUE SHIELD TX
TXFTS030Medicare ID - Type Unspecified