Bioserenity DT Inc.

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

BIOSERENITY DT INC.

Practice address

386 N York St Ste 207
Elmhurst, IL 60126-2367

Phone

(847) 699-5176

Fax

(847) 966-7316

NPI assigned

Aug 11, 2006

Organization subpart

No

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 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1487665402",
    "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": "978-535-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 N YORK ST STE 207",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262367",
            "telephone_number": "847-699-5176",
            "fax_number": "847-966-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOSERENITY DT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "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
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7618325",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01619296",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8011510",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa A Biancalana-Marsh, DNP, APN, FNP-BC
• Margaret M, Biancofiori, CRNA
• Michael John Bicknell, DDS., MS
• Dylan Bihun, PHARMD
• Darlene Sliva Bingham, CRNA
• Mary Lourdes Bird, M.D.
• Cristina Bistriceanu
• Lauren Black
• Lauren Janine Black, LCSW, CADC
• Samantha Blackwell, BCBA

• Sleep Disorder Diagnostic Clinic/Center in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Sleep Disorder Diagnostic Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.