NPIMap

Organization Active NPI

USA Sleep Diagnostic Mobile Services, LLC

Doing business as Usa Sleep Diagnostic Mobile Service

  • Sleep Disorder Diagnostic Clinic/Center
  • Stafford, VA
National Provider Identifier
1508233032
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
20179 Issued in PA
Legal business name
USA SLEEP DIAGNOSTIC MOBILE SERVICES, LLC
Doing business as
Usa Sleep Diagnostic Mobile Service
Practice address
392 Garrisonville Rd Ste 210B
Stafford, VA 22554-1500
Phone
(888) 792-4445
Fax
(888) 226-4773
NPI assigned
Sep 1, 2015
Last updated
Mar 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Authorized official

Name
Thurlyn Wilson
Title
Owner
Phone
(888) 792-4445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 20179 PA Primary

Addresses

Primary practice location

392 Garrisonville Rd Ste 210B
Stafford, VA 22554-1500

Mailing address

6030 Daybreak Cir Ste A150260
Clarksville, MD 21029-1642
Phone (888) 792-4445

Other names 1

  • Usa Sleep Diagnostic Mobile Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200722001016 VA Part B Supplier - Sleep Laboratory/Medicine 4284956335 Receives reassigned benefits from 3 practitioners
Practice locations: Stafford, VA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
USA Sleep Diagnostic Mobile Service8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

800 Corporate Dr
Ste 301
Stafford, VA 22554
Phone (540) 300-5448

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1508233032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 DAYBREAK CIR STE A150260",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291642",
            "telephone_number": "888-792-4445",
            "fax_number": "888-226-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 GARRISONVILLE RD STE 210B",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541500",
            "telephone_number": "888-792-4445",
            "fax_number": "888-226-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA SLEEP DIAGNOSTIC MOBILE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "THURLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-792-4445"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "PA",
            "license": "20179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Usa Sleep Diagnostic Mobile Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Usa Sleep Diagnostic Mobile Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.