Organization
CLAYTON SLEEP INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNDA NEWMAN (DIRECTOR OF PATIENT CARE)
(314) 645-5855
Entity
Organization
Contact information
Practice address
11188 TESSON FERRY RD STE 100, SAINT LOUIS, MO 63123-6962
(314) 645-5855
(314) 645-6446
Mailing address
PO BOX 797024, SAINT LOUIS, MO 63179-7000
(314) 645-5855
(314) 645-6446
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
714932100
—
MO
01
—
P00118622
RAILROAD MEDICARE
MO
Enumeration date
10/03/2006
Last updated
03/12/2024
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