Provider Demographics
NPI:1992962724
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:
Authorized Official - Credentials:
Authorized Official - Phone:469-499-2857
Mailing Address - Street 1:13284 POND SPRINGS RD
Mailing Address - Street 2:STE 302
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-7177
Mailing Address - Country:US
Mailing Address - Phone:512-485-7150
Mailing Address - Fax:512-485-7782
Practice Address - Street 1:3613 WILLIAMS DR
Practice Address - Street 2:STE 803
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-1377
Practice Address - Country:US
Practice Address - Phone:512-485-7150
Practice Address - Fax:512-485-7782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTS228Medicare PIN