Organization Active NPI

Sleep Study Clinics of West Tennessee, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Germantown, TN
National Provider Identifier
1043675036
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SLEEP STUDY CLINICS OF WEST TENNESSEE, LLC
Practice address
7730 Wolf River Blvd Ste 106
Germantown, TN 38138-1737
Phone
(901) 405-1023
NPI assigned
Dec 18, 2015
Last updated
Dec 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Devin Donaldson
Title
Ceo
Phone
(901) 461-8009

Specialties & licenses 1

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

Addresses

Primary practice location

7730 Wolf River Blvd Ste 106
Germantown, TN 38138-1737

Mailing address

7730 Wolf River Blvd Ste 106
Germantown, TN 38138-1737
Phone (901) 405-1023

Other practice location 1

7679 hwy 51 north
halls, TN 38063-1548
Phone (731) 903-4082

Other identifiers 1

IdentifierTypeStateIssuer
3791004OtherTNPTAN

National Provider Directory

National Provider Directory
Tax ID family
Sleep Study Clinics of West Tennessee LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7730 Wolf River Blvd
Ste 106
Germantown, TN 38138
Phone (731) 445-1852

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1043675036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 WOLF RIVER BLVD STE 106",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381737",
            "telephone_number": "901-405-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 WOLF RIVER BLVD STE 106",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381737",
            "telephone_number": "901-405-1023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7679 hwy 51 north",
            "address_purpose": "LOCATION",
            "city": "halls",
            "state": "TN",
            "postal_code": "380631548",
            "country_code": "US",
            "telephone_number": "731-903-4082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SLEEP STUDY CLINICS OF WEST TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-461-8009"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "3791004",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.