Organization Active NPI

Rem Diagnostics, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • San Luis Obispo, CA
National Provider Identifier
1497730394
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
REM DIAGNOSTICS, INC.
Practice address
1329 Broad St Ste C
San Luis Obispo, CA 93401-1928
Phone
(805) 785-0126
Fax
(805) 785-0127
NPI assigned
Dec 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Gregg Swoboda
Title
Owner
Phone
(805) 785-0126

Specialties & licenses 1

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

Addresses

Primary practice location

1329 Broad St Ste C
San Luis Obispo, CA 93401-1928

Mailing address

PO Box 1708
San Luis Obispo, CA 93406-1708
Phone (805) 785-0126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120829000171 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5890751051 Practice locations: San Luis Obispo, CA

National Provider Directory

National Provider Directory

Locations

1329 Broad St
Ste C
Sn Luis Obisp, CA 93401
Phone (805) 785-0126

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1497730394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1708",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934061708",
            "telephone_number": "805-785-0126",
            "fax_number": "805-784-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 BROAD ST STE C",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934011928",
            "telephone_number": "805-785-0126",
            "fax_number": "805-785-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "SWOBODA",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-785-0126"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.