Active NPI
Rem Diagnostics, Inc.
- Sleep Disorder Diagnostic Clinic/Center
- San Luis Obispo, CA
National Provider Identifier
1497730394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120829000171 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5890751051 | Practice locations: San Luis Obispo, CA |
National Provider Directory
National Provider DirectoryLocations
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.