Organization
REM SLEEP DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA DURAND (BILLING MANAGER)
(281) 496-7667
Entity
Organization
Contact information
Practice address
130 MEDICAL CENTER PARKWAY, SUITE 7, HUNTSVILLE, TX 77340
(936) 436-9055
(936) 436-9054
Mailing address
P.O. BOX 1349, HUNTSVILLE, TX 77342
(936) 436-9055
(936) 436-9054
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530968
BCBS TX (DME)
TX
01
—
PL7063
BLUECROSSBLUE SHIELD TX
TX
Enumeration date
07/21/2006
Last updated
12/24/2008
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