Serenity Diagnostic Services LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

201816310597 Issued in CA

Legal business name

SERENITY DIAGNOSTIC SERVICES LLC

Practice address

6204 Mary Jean PL
Elk Grove, CA 95758-6111

Phone

(916) 903-3067

Fax

(916) 290-0574

NPI assigned

Jul 1, 2018

Organization subpart

No

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

Authorized official

Name

Russell Allen Stringfellow

Title

Managing Member

Phone

(916) 903-3067

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1530403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530403200000",
    "number": "1356836480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 MARY JEAN PL",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957586111",
            "telephone_number": "916-903-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 MARY JEAN PL",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957586111",
            "telephone_number": "916-903-3067",
            "fax_number": "916-290-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-01",
        "last_updated": "2018-07-01",
        "status": "A",
        "authorized_official_last_name": "STRINGFELLOW",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "916-903-3067"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": "201816310597",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "201816310597",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Guest Home
• Senior Sweet Home
• Ryan G Seo, PHARM.D.
• Alejandra Sepulveda
• Kyle Sereni
• Yelena Y. Sergeyeva, MD
• Sergio Pereira & Simonne Patrick, DDS a Prof Corp
• Cecilia Anahi Serrano-Villarreal
• Joshua J Serrano
• Jasleen Sethi

• Sleep Disorder Diagnostic Clinic/Center in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Sleep Disorder Diagnostic Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2018; 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.