Active NPI
Huntsville Sleep Center, LLC
- Sleep Disorder Diagnostic Clinic/Center
- Huntsville, TX
National Provider Identifier
1669640447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- HUNTSVILLE SLEEP CENTER, LLC
- Practice address
- 122 Medical Park Lane
Suite B
Huntsville, TX 77340-4971 - Phone
- (936) 293-8883
- NPI assigned
- Feb 14, 2008
- 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
- Mr. Dimitrios Spiros Mantzoros
- Title
- Chief Executive Officer
- Phone
- (936) 293-8883
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
122 Medical Park Lane
Suite B
Huntsville, TX 77340-4971
Mailing address
122 Medical Park Lane
Suite B
Huntsville, TX 77340-4971
Phone (936) 293-8883
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Durable Medical Equipment & Medical Supplies
- Huntsville, TX
- NPI 1629374517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284422400000",
"number": "1669640447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 MEDICAL PARK LANE",
"address_2": "SUITE B",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773404971",
"telephone_number": "936-293-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 MEDICAL PARK LANE",
"address_2": "SUITE B",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773404971",
"telephone_number": "936-293-8883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTSVILLE SLEEP CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-14",
"last_updated": "2010-09-14",
"status": "A",
"authorized_official_last_name": "MANTZOROS",
"authorized_official_first_name": "DIMITRIOS",
"authorized_official_middle_name": "SPIROS",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "936-293-8883",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.