Organization
MAINLAND AMERICAN SLEEP DIAGNOSTIC CENTER, INC.
Active
Other names
Sleep Diagnostics of America
Organization subpart
No
Provider details
NPI number
Authorized official
CASIE CLENNON (ADMINISTRATOR)
(281) 218-6990
Entity
Organization
Contact information
Practice address
17300 MERCURY DR, HOUSTON, TX 77058-2732
(281) 218-6990
(281) 218-7969
Mailing address
17300 MERCURY DR, HOUSTON, TX 77058-2732
(281) 218-6990
(281) 218-7969
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032MA
BLUE CROSS BLUE SHEILD
TX
Enumeration date
07/21/2006
Last updated
08/10/2022
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