Healthline Diagnostics, Inc.

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

HEALTHLINE DIAGNOSTICS, INC.

Doing business as

Texoma Sleep Diagnostics

Practice address

4102 Old Jacksboro Hwy
Suite 200
Wichita Falls, TX 76302-2747

Phone

(940) 723-1100

Fax

(940) 723-1133

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Edward Sims

Title

General Manager

Phone

(903) 813-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Texoma Sleep Diagnostics Doing business as

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1235331844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2142",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750912142",
            "telephone_number": "903-813-0300",
            "fax_number": "903-891-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 OLD JACKSBORO HWY",
            "address_2": "SUITE 200",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022747",
            "telephone_number": "940-723-1100",
            "fax_number": "940-723-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHLINE DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "903-813-0300"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER NUMBER",
            "identifier": "PL7084",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texoma Sleep Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sleep Disorder Diagnostic Clinic/Center in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Sleep Disorder Diagnostic Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.