Organization Active NPI

Bioserenity DT Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Woodbridge, VA
National Provider Identifier
1275929564
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
BIOSERENITY DT INC.
Practice address
14416 Richmond Hwy Ste 5
Woodbridge, VA 22191-2890
Phone
(703) 440-0981
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Janice Shock
Title
Evp Clinical Operations
Phone
(214) 532-3757

Specialties & licenses 1

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

Addresses

Primary practice location

14416 Richmond Hwy Ste 5
Woodbridge, VA 22191-2890

Mailing address

99 Rosewood Dr Ste 245
Danvers, MA 01923-4537
Phone (978) 536-7400

Other names 1

  • SleepMed Doing business as

National Provider Directory

National Provider Directory

Locations

14416 Richmond Hwy
Ste 5
Woodbridge, VA 22191
Phone (703) 440-0981

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1275929564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 ROSEWOOD DR STE 245",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234537",
            "telephone_number": "978-536-7400",
            "fax_number": "978-535-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14416 RICHMOND HWY STE 5",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912890",
            "telephone_number": "703-440-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOSERENITY DT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "SHOCK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "EVP CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "214-532-3757"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SleepMed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SleepMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.