Vital Sleep, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

0076806 Issued in TX

Legal business name

VITAL SLEEP, LLC

Practice address

9707 Anderson Mill Rd
Suite 150
Austin, TX 78750-2298

Phone

(318) 222-0885

Fax

(318) 222-0883

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Lea Desmarteau

Title

Ceo

Phone

(318) 222-0885

Specialties & licenses 1

Addresses

Other names 1

• Wellnecessities of Dallas Former legal business name

Locations

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1679624209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8835 LINE AVE",
            "address_2": "SUITE 500",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066722",
            "telephone_number": "318-222-0885",
            "fax_number": "318-222-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 ANDERSON MILL RD",
            "address_2": "SUITE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502298",
            "telephone_number": "318-222-0885",
            "fax_number": "318-222-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SLEEP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "DESMARTEAU",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-222-0885"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "TX",
            "license": "0076806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellnecessities of Dallas",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vita Healthcare PLLC
• Vitacare Health LLC
• Vitae Clinic Inc
• Vital Chiropractic & Wellness PLLC
• Vital Rheumatology PLLC
• Vital Sleep, LLC
• Vitalequip LLC
• Vitality Health Partners PLLC
• Vitality Physical Therapy LLC
• Vitalmed Solutions Inc.

• Sleep Disorder Diagnostic Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Sleep Disorder Diagnostic Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.