Sleep Diagnostic Center

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

1997112131 Issued in DE

Legal business name

SLEEP DIAGNOSTIC CENTER

Practice address

1903 Newport Gap Pike
Sleep Diagnostic Center
Wilmington, DE 19808

Phone

(302) 994-0505

Fax

(302) 994-6080

NPI assigned

Oct 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manna T Babu, MS PHD

Title

Director

Phone

(302) 994-0505

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558444158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 NEWPORT GAP PIKE",
            "address_2": "SLEEP DIAGNOSTIC CENTER",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "302-994-0505",
            "fax_number": "302-994-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 NEWPORT GAP PIKE",
            "address_2": "SLEEP DIAGNOSTIC CENTER",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "302-994-0505",
            "fax_number": "302-994-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BABU",
        "authorized_official_first_name": "MANNA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-994-0505",
        "authorized_official_credential": "MS PHD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "DE",
            "license": "1997112131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000977923",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn L Slavin, LPCMH
• Lillian Slavin, PHD
• Cheryl M Slavinski, P.A.
• Kaitlyn Slavish
• Jerry Slawson
• Sleep Disorders Management, LLC
• Sleepcare Centers, Inc.
• Sleepy Tooth Sedation, L.L.C.
• Hope Jolie Slomich, MD
• Jennifer Patricia Sloven

• Sleep Disorder Diagnostic Clinic/Center in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Sleep Disorder Diagnostic Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.