Organization Active NPI

Mainland American Sleep Diagnostic Center, Inc.

Doing business as Sleep Diagnostics of America

  • Sleep Disorder Diagnostic Clinic/Center
  • Houston, TX
National Provider Identifier
1093735839
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
MAINLAND AMERICAN SLEEP DIAGNOSTIC CENTER, INC.
Doing business as
Sleep Diagnostics of America
Practice address
17300 Mercury Dr
Houston, TX 77058-2732
Phone
(281) 218-6990
Fax
(281) 218-7969
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Casie Clennon
Title
Administrator
Phone
(281) 218-6990

Specialties & licenses 1

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

Addresses

Primary practice location

17300 Mercury Dr
Houston, TX 77058-2732

Mailing address

17300 Mercury Dr
Houston, TX 77058-2732
Phone (281) 218-6990

Other identifiers 1

IdentifierTypeStateIssuer
0032MAOtherTXBLUE CROSS BLUE SHEILD

Other names 1

  • Sleep Diagnostics of America Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200331002491 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3173572955 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

17300 Mercury Dr
Slp Diagnostics
Houston, TX 77058
Phone (281) 218-6990

17300 Saturn Ln
Ste 113
Houston, TX 77058
Phone (281) 218-6990

1120 Nasa Pkwy
Ste 101
Houston, TX 77058
Phone (281) 218-6990

6502 Memorial Dr
Slp Diagnostics
Texas City, TX 77591
Phone (281) 218-6990

6502 Memorial Dr
Texas City, TX 77591
Phone (409) 935-4664

6502 Memorial Dr
Slp Diag
Texas City, TX 77591
Phone (281) 218-6990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1093735839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 MERCURY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582732",
            "telephone_number": "281-218-6990",
            "fax_number": "281-218-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 MERCURY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582732",
            "telephone_number": "281-218-6990",
            "fax_number": "281-218-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINLAND AMERICAN SLEEP DIAGNOSTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "CLENNON",
        "authorized_official_first_name": "CASIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-218-6990"
    },
    "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": "BLUE CROSS BLUE SHEILD",
            "identifier": "0032MA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Diagnostics of America",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sleep Diagnostics of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.