# CLAYTON SLEEP INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1750475588
- **Authorized official:** MS. LYNDA NEWMAN (DIRECTOR OF PATIENT CARE)
- **Authorized official phone:** (314) 645-5855

## Contact information

- **Practice address:** 11188 TESSON FERRY RD STE 100, SAINT LOUIS, MO 63123-6962
- **Practice address phone:** (314) 645-5855
- **Practice address fax:** (314) 645-6446
- **Mailing address:** PO BOX 797024, SAINT LOUIS, MO 63179-7000
- **Mailing address phone:** (314) 645-5855
- **Mailing address fax:** (314) 645-6446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | — | — |
| 293D00000X | Physiological Laboratory | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 03/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 714932100 | — | MO |
| 01 | — | P00118622 | RAILROAD MEDICARE | MO |