BIOSERENITY DT INC. – NPI #1417969163
Clinic/Center

BIOSERENITY DT INC. is an AHC clinic located in BINGHAM FARMS, MI. NPPES has assigned the NPI number 1417969163 to BIOSERENITY DT INC. on August 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS1200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Sleep Disorder Diagnostic

The NPI profile was previously updated about 4 years ago on May 10, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BIOSERENITY DT INC. below.

NPI Profile for
BIOSERENITY DT INC.

NPI Number
1417969163
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BIOSERENITY DT INC.
Primary location
32100 TELEGRAPH RD
SUITE 145
BINGHAM FARMS, MI 48025
Phone: (248) 281-0151 Fax: (248) 281-0156
Mailing address
99 ROSEWOOD DR STE 245
DANVERS, MA 01923-4537
Phone: (978) 536-7400 Fax: (978) 535-9778
Organization Subpart
No
Authorized Official
JANICE SHOCK
EVP CLINICAL OPERATIONS
Phone: (214) 532-3757
Updated
Certification Date
May 10, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BIOSERENITY DT INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERHAPMI0N69430
OTHERMIDWEST HEALTH PLANMI004251
OTHERPREFERRED HEALTHPLANMI0N69430
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1200X
- Clinic/Center / Sleep Disorder Diagnostic (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.