Active NPI
Montgomery Sleep Diagnostic Center, LLC
- Sleep Disorder Diagnostic Clinic/Center
- Montgomery, TX
National Provider Identifier
1295989879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- MONTGOMERY SLEEP DIAGNOSTIC CENTER, LLC
- Practice address
- 19782 Hwy 105 W
Suite 133
Montgomery, TX 77356-3104 - Phone
- (936) 443-9921
- NPI assigned
- Nov 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Geoffrey Alan Stevens
- Title
- Owner
- Phone
- (936) 443-9921
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
19782 Hwy 105 W
Suite 133
Montgomery, TX 77356-3104
Mailing address
19782 Hwy 105 W
Suite 133
Montgomery, TX 77356-3104
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291852800000",
"number": "1295989879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19782 HWY 105 W",
"address_2": "SUITE 133",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773563104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19782 HWY 105 W",
"address_2": "SUITE 133",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773563104",
"telephone_number": "936-443-9921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTGOMERY SLEEP DIAGNOSTIC CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-10",
"last_updated": "2010-12-09",
"status": "A",
"authorized_official_last_name": "STEVENS",
"authorized_official_first_name": "GEOFFREY",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "936-443-9921"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.