Mainland American Sleep Diagnostics Center, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1001276 Issued in TX

Legal business name

MAINLAND AMERICAN SLEEP DIAGNOSTICS CENTER, INC.

Practice address

401 W Fairmont Pkwy
Ste F
La Porte, TX 77571

Phone

(281) 218-6990

Fax

(281) 218-7969

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Devin Clennon, RPSGT, RST

Title

Ceo

Phone

(281) 218-6990

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sleep Diagnostics of America Doing business as

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1972979482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580313",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772580313",
            "telephone_number": "281-218-6990",
            "fax_number": "281-218-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W FAIRMONT PKWY",
            "address_2": "STE F",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "77571",
            "telephone_number": "281-218-6990",
            "fax_number": "281-218-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINLAND AMERICAN SLEEP DIAGNOSTICS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "CLENNON",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-218-6990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPSGT, RST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1001276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "534039",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "740032MA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Diagnostics of America",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sleep Diagnostics of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa a Frazier OD
• Amanda Magill, NP
• Gayla M Maher, D.D.S.
• Lawrence Warren Maher III, D.D.S.
• Yvonne Mai, PHARMD
• Man Alive Hormone and Wellness Center LLC
• Kapil Mangla
• Tenecia Mason
• McCrae Management and Investments, LTD.
• Grace McIntyre, RN

• Durable Medical Equipment & Medical Supplies in La Porte, TX
• Providers in La Porte, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.