Organization Active NPI

Focus Sleep Center of Desoto, LLC

  • Physiological Laboratory
  • Southaven, MS
National Provider Identifier
1316331234
Registry record updated Mar 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
FOCUS SLEEP CENTER OF DESOTO, LLC
Practice address
7420 Guthrie Dr N
Suite 101
Southaven, MS 38671-5876
Phone
(662) 349-9802
Fax
(662) 349-9810
NPI assigned
Mar 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2015

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

Authorized official

Name
Devin Duane Donaldson
Title
President
Phone
(901) 461-8009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

7420 Guthrie Dr N
Suite 101
Southaven, MS 38671-5876

Mailing address

7420 Guthrie Dr N
Suite 101
Southaven, MS 38671-5876
Phone (662) 349-9802

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2328061Desoto Imaging Specialists7420 Guthrie Drive North, Suite 105, Southaven, MS 38671Certificate of waiverAug 3, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427500800000",
    "number": "1316331234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 GUTHRIE DR N",
            "address_2": "SUITE 101",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715876",
            "telephone_number": "662-349-9802",
            "fax_number": "662-349-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 GUTHRIE DR N",
            "address_2": "SUITE 101",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715876",
            "telephone_number": "662-349-9802",
            "fax_number": "662-349-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS SLEEP CENTER OF DESOTO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-28",
        "last_updated": "2015-03-28",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-461-8009"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.