Active NPI
Beacon Bio DX, LLC
- Sleep Disorder Diagnostic Clinic/Center
- Cleveland, OH
National Provider Identifier
1164218814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- BEACON BIO DX, LLC
- Practice address
- 4415 Euclid Ave
Cleveland, OH 44103-3759 - Phone
- (216) 791-6720
- NPI assigned
- Apr 18, 2025
- 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
- Sarah Weimer
- Title
- VP Clinical Services
- Phone
- (216) 906-1642
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary | ||
| Physiological Laboratory | 293D00000X |
Addresses
Primary practice location
4415 Euclid Ave
Cleveland, OH 44103-3759
Mailing address
4415 Euclid Ave
Cleveland, OH 44103-3759
Phone (216) 791-6720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260423000938 | OH | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2961979398 | Practice locations: Cleveland, OH |
National Provider Directory
National Provider DirectoryLocations
4415 Euclid Ave
Cleveland, OH 44103
Phone (216) 231-5612
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Stanford, CA
- NPI 1063041986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778544000000",
"number": "1164218814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441033759",
"telephone_number": "216-791-6720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4415 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441033759",
"telephone_number": "216-791-6720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEACON BIO DX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-18",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A",
"authorized_official_last_name": "WEIMER",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "VP CLINICAL SERVICES",
"authorized_official_telephone_number": "216-906-1642"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.