Organization Active NPI

Beacon Bio DX, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Cleveland, OH
National Provider Identifier
1164218814
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
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

Updated by the provider on May 12, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20260423000938 OH Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2961979398 Practice locations: Cleveland, OH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.