Active NPI
Sleep Diagnostic Center of Maynard
- Clinical Medical Laboratory
- Maynard, MA
National Provider Identifier
1154483352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 078055
- Legal business name
- SLEEP DIAGNOSTIC CENTER OF MAYNARD
- Practice address
- 146 Main St
Maynard, MA 01754-2504 - Phone
- (978) 369-7772
- Fax
- (978) 369-9514
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Meena Mehta, MD
- Title
- Owner
- Phone
- (978) 369-7772
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 078055 | MA | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 078055 | MA |
Addresses
Primary practice location
146 Main St
Maynard, MA 01754-2504
Mailing address
PO Box 1405
Concord, MA 01742-1405
Phone (978) 369-7772
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3772583 | Other | MA | AETNA |
| 9735691 | Medicaid | MA | |
| SF039969 | Other | MA | BCBS |
| 642080 | Other | MA | TUFTS |
National Provider Directory
National Provider DirectoryLocations
450 Bedford St
Lexington, MA 02420
Phone (781) 274-6274
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Concord, MA
- NPI 1285615310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1154483352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1405",
"city": "CONCORD",
"state": "MA",
"postal_code": "017421405",
"telephone_number": "978-369-7772",
"fax_number": "978-369-9514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 MAIN ST",
"city": "MAYNARD",
"state": "MA",
"postal_code": "017542504",
"telephone_number": "978-369-7772",
"fax_number": "978-369-9514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP DIAGNOSTIC CENTER OF MAYNARD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MEHTA",
"authorized_official_first_name": "MEENA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "978-369-7772",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MA",
"license": "078055",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MA",
"license": "078055",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3772583",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9735691",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "SF039969",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "642080",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maynard, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.