Valley Sleep Diagnostics

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

VALLEY SLEEP DIAGNOSTICS

Practice address

10368 W Salmonberry St
Star, ID 83669-6432

Phone

(208) 914-5977

NPI assigned

Jul 10, 2025

Organization subpart

No

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

Authorized official

Name

Christian McCord

Title

President

Phone

(208) 914-5977

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

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

• Brian W Fortuin, M.D.

  • Internal Medicine Physician
  • Twin Falls, ID
  • NPI 1740221191
  NPD

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1902797822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10368 W SALMONBERRY ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836696432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10368 W SALMONBERRY ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836696432",
            "telephone_number": "208-914-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SLEEP DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "MCCORD",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-914-5977"
    },
    "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Star Therapeutic Massage LLC
• Summit Physical Therapy
• TDX5 LLC (White Oak Hospice)
• Kevin L Tingey, DDS
• Christina Marie Trindade, MA
• Carol E Ward, RD
• Rachel Hart Wardrop
• Janene Marie Webster-Dodge, RPH
• Kristen Wolfley, MSCCC-SLP
• Kelsi Woodburn, LCPC

• Physiological Laboratory in Star, ID
• Providers in Star, ID by specialty
• Physiological Laboratory in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.