Organization Active NPI

Serenity Sleep Lab LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Folsom, CA
National Provider Identifier
1174801864
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SERENITY SLEEP LAB LLC
Practice address
2304 E Bidwell St Ste 110
Folsom, CA 95630-3455
Phone
(916) 932-0048
Fax
(916) 932-0049
NPI assigned
Jul 28, 2011
Last updated
Jul 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Authorized official

Name
Dr. Thomas Nelson Ludlow, DDS
Title
President
Phone
(916) 932-0048

Specialties & licenses 1

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

Addresses

Primary practice location

2304 E Bidwell St Ste 110
Folsom, CA 95630-3455

Mailing address

2304 E Bidwell St Ste 110
Folsom, CA 95630-3455
Phone (916) 932-0048

National Provider Directory

National Provider Directory

Locations

2304 E Bidwell St
Ste 110
Folsom, CA 95630
Phone (916) 932-0048

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1174801864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 E BIDWELL ST STE 110",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303455",
            "telephone_number": "916-932-0048",
            "fax_number": "916-932-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 E BIDWELL ST STE 110",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303455",
            "telephone_number": "916-932-0048",
            "fax_number": "916-932-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SLEEP LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "LUDLOW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-932-0048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.