Organization Active NPI

Sleep Diagnostic Center of Maynard

  • Clinical Medical Laboratory
  • Maynard, MA
National Provider Identifier
1154483352
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
078055 Issued in MA
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

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Meena Mehta, MDNPI 1285615310
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3772583OtherMAAETNA
9735691MedicaidMA
SF039969OtherMABCBS
642080OtherMATUFTS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.