NPIMap

Organization Active NPI

USA Sleep Diagnostic Mobile Service

  • Sleep Disorder Diagnostic Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1215706114
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
USA SLEEP DIAGNOSTIC MOBILE SERVICE
Practice address
476 Riverside Ave
Jacksonville, FL 32202-4912
Phone
(888) 792-4445
NPI assigned
Dec 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Thurlyn Bryan Wilson
Title
Manager
Phone
(888) 792-4445

Specialties & licenses 1

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

Addresses

Primary practice location

476 Riverside Ave
Jacksonville, FL 32202-4912

Mailing address

6030 Daybreak Cir
Clarksville, MD 21029-1642
Phone (410) 804-5424

Other practice location 1

545 Brent Ln
Pensacola, FL 32503-2003
Phone (888) 792-4445

National Provider Directory

National Provider Directory
Tax ID family
USA Sleep Diagnostic Mobile Service8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6030 Daybreak Cir
Clarksville, MD 21029
Phone (844) 856-9355

1215 Annapolis Rd
Ste 212
Odenton, MD 21113

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1215706114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 DAYBREAK CIR",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291642",
            "telephone_number": "410-804-5424",
            "fax_number": "410-431-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024912",
            "telephone_number": "888-792-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Brent Ln",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032003",
            "country_code": "US",
            "telephone_number": "888-792-4445",
            "fax_number": "410-431-3433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "USA SLEEP DIAGNOSTIC MOBILE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "THURLYN",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "888-792-4445"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.