Organization Active NPI

Bioserenity DT Inc.

Doing business as SleepMed

  • Sleep Disorder Diagnostic Clinic/Center
  • Woodbridge, VA
National Provider Identifier
1003129826
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
BIOSERENITY DT INC.
Doing business as
SleepMed
Practice address
13662 Office PL
Suite 104
Woodbridge, VA 22192-4217
Phone
(703) 580-4679
NPI assigned
Jul 21, 2010
Last updated
Nov 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven Russell
Title
Cfo
Phone
(770) 330-7836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

13662 Office PL
Suite 104
Woodbridge, VA 22192-4217

Mailing address

200 Corporate PL
Suite 5B
Peabody, MA 01960-3840
Phone (978) 536-7400

Other identifiers 1

IdentifierTypeStateIssuer
FVS029OtherMDMEDICARE

Other names 1

  • SleepMed Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

13662 Office Pl
Ste 104
Woodbridge, VA 22192
Phone (571) 320-5583

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1003129826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE PL",
            "address_2": "SUITE 5B",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603840",
            "telephone_number": "978-536-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13662 OFFICE PL",
            "address_2": "SUITE 104",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924217",
            "telephone_number": "703-580-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOSERENITY DT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-330-7836"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "FVS029",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SleepMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.