The Reggie White Sleep Disorder Center - Desoto

LBN: Sleep Diagnostics, Llc
The Reggie White Sleep Disorder Center - Desoto is an health care organization with primary practice located at 7600 Airways Blvd Ste G, Southaven MS 38671. The organization recently has only one registered license in Ambulatory Health Care Facilities / Sleep Disorder Diagnostic, which is considered as the primary health care specialty. Sleep Diagnostics, Llc can be contacted via phone (662) 349-9802, or through Denman, Derek Evin via phone (901) 246-0767.

Contact Information

Primary practice address
7600 Airways Blvd Ste G Southaven MS 38671
Phone: (662) 349-9802
Fax: (669) 349-9810
Website:
Map and Directions
Authorized official contact:
Name: Denman, Derek Evin
Phone: (901) 246-0767

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Sleep Disorder Diagnostic 261QS1200X 2068 Mississippi

Profile Details

NPI number 1659318574
LBN Legal business name Sleep Diagnostics, Llc
DBA Doing business as The Reggie White Sleep Disorder Center - Desoto
Authorized official Denman, Derek Evin
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Dec 2nd, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659318574 NPPES
Mississippi MEDICAID 03003864

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