Organization
MAINLAND AMERICAN SLEEP DIAGNOSTICS CENTER, INC.
Active
Other names
Sleep Diagnostics of America
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVIN CLENNON RPSGT, RST (CEO)
(281) 218-6990
Entity
Organization
Contact information
Practice address
401 W FAIRMONT PKWY, STE F, LA PORTE, TX 77571
(281) 218-6990
(281) 218-7969
Mailing address
PO BOX 580313, HOUSTON, TX 77258-0313
(281) 218-6990
(281) 218-7969
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001276
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
534039
BLUE CROSS
TX
01
—
740032MA
BLUE CROSS
TX
Enumeration date
08/19/2015
Last updated
07/24/2018
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