THE REGGIE WHITE SLEEP DISORDER CENTER - DESOTO – NPI #1659318574
Clinic/Center

THE REGGIE WHITE SLEEP DISORDER CENTER - DESOTO is an AHC clinic located in SOUTHAVEN, MS. NPPES has assigned the NPI number 1659318574 to THE REGGIE WHITE SLEEP DISORDER CENTER - DESOTO on May 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE REGGIE WHITE SLEEP DISORDER CENTER - DESOTO” is a dba name, the actual legal business name for this organization is SLEEP DIAGNOSTICS, LLC. 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 17 years ago on Dec 02, 2009. 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 THE REGGIE WHITE SLEEP DISORDER CENTER - DESOTO below.

NPI Profile for
SLEEP DIAGNOSTICS, LLC

NPI Number
1659318574
Enumeration Date

(more than 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
SLEEP DIAGNOSTICS, LLC
Doing Business As (dba): THE REGGIE WHITE SLEEP DISORDER CENTER - DESOTO
Primary location
7600 AIRWAYS BLVD
STE G
SOUTHAVEN, MS 38671
Phone: (662) 349-9802 Fax: (669) 349-9810
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DEREK DENMAN
CEO/PRESIDENT
Phone: (901) 246-0767
Updated
Identifiers

Identifiers for THE REGGIE WHITE SLEEP DISORDER CENTER - DESOTO

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
MEDICAIDMS03003864
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)		 MS 2068

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.