Organization Active NPI

Clayton Sleep Institute, LLC

  • Physiological Laboratory
  • Saint Louis, MO
National Provider Identifier
1750475588
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
CLAYTON SLEEP INSTITUTE, LLC
Practice address
11188 Tesson Ferry Rd Ste 100
Saint Louis, MO 63123-6962
Phone
(314) 645-5855
Fax
(314) 645-6446
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Ms. Lynda Newman
Title
Director of Patient Care
Phone
(314) 645-5855

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X
Physiological Laboratory 293D00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

11188 Tesson Ferry Rd Ste 100
Saint Louis, MO 63123-6962

Mailing address

PO Box 797024
Saint Louis, MO 63179-7000
Phone (314) 645-5855

Other identifiers 2

IdentifierTypeStateIssuer
714932100MedicaidMO
P00118622OtherMORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070430000404 MO Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0941303614 Practice locations: Saint Louis, MO
O20170125001503 MO Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0941303614 Practice locations: Farmington, MO

National Provider Directory

National Provider Directory

Locations

1135 E Karsch Blvd
Farmington, MO 63640
Phone (573) 760-1501

2531 S Big Bend Blvd
Ste 2
Saint Louis, MO 63143
Phone (314) 645-5855

2705 Dougherty Ferry Rd
Ste 104
Saint Louis, MO 63122
Phone (314) 394-3319

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1750475588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797024",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631797000",
            "telephone_number": "314-645-5855",
            "fax_number": "314-645-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11188 TESSON FERRY RD STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236962",
            "telephone_number": "314-645-5855",
            "fax_number": "314-645-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON SLEEP INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT CARE",
        "authorized_official_telephone_number": "314-645-5855",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "714932100",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00118622",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.