# BIOSERENITY DT INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306857792
- **Authorized official:** JANICE SHOCK (EVP CLINICAL OPERATIONS)
- **Authorized official phone:** (214) 532-3757

## Contact information

- **Practice address:** 25000 COUNTRY CLUB BLVD, SUITE 120, NORTH OLMSTED, OH 44070
- **Practice address phone:** (440) 845-0022
- **Practice address fax:** (440) 845-0107
- **Mailing address:** 99 ROSEWOOD DR STE 245, DANVERS, MA 01923-4537
- **Mailing address phone:** (978) 536-7400
- **Mailing address fax:** (975) 535-9778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 05/10/2022