LAKESIDE SLEEP CENTER LLC (NPI# 1780120006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780120006 |
| Entity Type | Organization |
| Organization Name | LAKESIDE SLEEP CENTER LLC |
| Practice Address |
123 Blue Heron Dr Ste 102 Montgomery TX 77316-3192 |
| Practice Telephone | 9365821112 |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |
| Authorized Official Name | CORTNIE WELLMAN (OWNER) |
| Authorized Official Telephone | 9365821112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
1000226 | TX | Suppliers |
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
TX | Ambulatory Health Care Facilities |
| Street Address |
123 BLUE HERON DR STE 102 |
| City | MONTGOMERY |
| State | TX |
| Zip Code | 77316-3192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650628 | Matthew C Snyder | Optometrist | 123 Blue Heron Dr, Ste 103, Montgomery, TX 77316-3192 | 2005-06-22 |
| 1366977134 | Montgomery Eye Associates PC | Optometrist | 123 Blue Heron Dr, Suite 103, Montgomery, TX 77316-3192 | 2017-04-28 |
| 1841616398 | Celestia, LLC | Clinic/Center | 123 Blue Heron Dr, Ste 201, Montgomery, TX 77316-3192 | 2014-03-07 |
| 1700103751 | Tmc Clinic | Internal Medicine | 123 Blue Heron Dr, Suite 102, Montgomery, TX 77316-3192 | 2010-04-30 |
| 1154556785 | Wellman Sleep Systems, LLC | Physiological Laboratory | 123 Blue Heron Dr, Ste 102, Montgomery, TX 77316-3192 | 2009-05-27 |
| 1760617211 | Wellman Sleep Systems, LLC | Durable Medical Equipment & Medical Supplies | 123 Blue Heron Dr, Ste 102, Montgomery, TX 77316-3192 | 2009-05-27 |
| 1750494985 | Tony Wesley Deramus | Chiropractor | 123 Blue Heron Dr, Ste 104, Montgomery, TX 77316-3192 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053940494 | Alliance Mri Woodforest LLC | Clinic/Center | 750 Fish Creek Thoroughfare, Suite 180, Montgomery, TX 77316 | 2020-04-07 |
| 1457997058 | Kristynik Eye Care Pllc | Optometrist | 791 Fish Creek Thoroughfare, Suite 50, Montgomery, TX 77316 | 2019-11-19 |
| 1710532684 | Knee Scooters Houston LLC | Durable Medical Equipment & Medical Supplies | 9937 Chestnut Ct, Montgomery, TX 77316 | 2019-08-07 |
| 1134772270 | Sandstone Medical | Clinic/Center | 795 Fish Creek Thoroughfare Ste 270, Montgomery, TX 77316 | 2019-07-18 |
| 1356801195 | Woodforest Fine Dentistry | Clinic/Center | 791 Fish Creek Thoroughfare Ste 40, Montgomery, TX 77316 | 2019-03-20 |
| 1467923169 | Jody Michele Reed | Counselor | 6360 Honea Egypt Rd, Montgomery, TX 77316 | 2018-12-06 |
| 1811490949 | Gregory Crocker | Chiropractor | 125 Blue Herron Dr Suite B, Montgomery, TX 77316 | 2018-03-15 |
| 1114302122 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2180 Woodforest Parkway N, Montgomery, TX 77316 | 2015-07-21 |
| 1518376698 | Jennifer Miller Hobock | Dentist | 2300 Woodforest Pkwy N, Ste 700, Montgomery, TX 77316 | 2014-08-04 |
| 1861815342 | Reese Ochoa | Chiropractor | 125 Blue Heron Dr Ste B, Montgomery, TX 77316 | 2014-02-04 |
| Find all providers in zip 77316 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124414073 | Robert Dozier | Clinic/Center | 17811 N Blue Heron Cir, Montgomery, TX 77316-3108 | 2015-04-07 |
| 1295989879 | Montgomery Sleep Diagnostic Center, LLC | Clinic/Center | 19782 Hwy 105 W, Suite 133, Montgomery, TX 77356-3104 | 2008-11-10 |
| 1689856023 | Texas Rt Services and Sleep Diagnostics | Clinic/Center | 19782 Highway 105 W Ste 133, Montgomery, TX 77356-3104 | 2007-11-27 |
| 1891870598 | Sleep Technologies Lp | Clinic/Center | 207 Lazy Ln, Montgomery, TX 77356-4751 | 2006-10-25 |
| 1720465859 | Texas Home Sleep LLC | Clinic/Center | 17811 N Blue Heron Cir, Montgomery, TX 77316-3108 | 2015-04-27 |
| 1841616398 | Celestia, LLC | Clinic/Center | 123 Blue Heron Dr, Ste 201, Montgomery, TX 77316-3192 | 2014-03-07 |
| 1124274253 | Sleep Diagnostics | Clinic/Center | 19782 Highway 105 W, Ste 133, Montgomery, TX 77356-3103 | 2008-08-08 |
| 1598947624 | Geoffrey Stevens | Clinic/Center | 19782 Highway 105 W Ste 133, Montgomery, TX 77356-3104 | 2007-11-30 |
| 1275606626 | Sleep Inovations LLC | Clinic/Center | 207 Lazy Ln, Montgomery, TX 77356-4751 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345237 | Sleep Specialties, LLC | Clinic/Center | 2200 Physicians Blvd Ste B, Ennis, TX 75119-6248 | 2020-10-29 |
| 1841815461 | Sleep Associates of America LLC | Clinic/Center | 5508 Parkcrest Dr Ste 200, Austin, TX 78731-4929 | 2020-06-09 |
| 1326669136 | Well Rested Diagnostics | Clinic/Center | 3310 Katy Fwy Ste 390, Houston, TX 77007-3603 | 2020-05-03 |
| 1164042784 | Dallas County Hospital District | Clinic/Center | 1341 W Mockingbird Ln Ste 300e, Dallas, TX 75247-4935 | 2020-04-23 |
| 1093351140 | Neuro-sleep Solutions LLC | Clinic/Center | 2710 Mangum Road, Building 2, Houston, TX 77092 | 2019-11-25 |
| 1992341432 | Renuyou Sleep and Wellness LLC | Clinic/Center | 401 W Fairmont Pkwy Ste F, La Porte, TX 77571-6314 | 2019-11-19 |
| 1144863812 | Atx Sleep Center of Austin | Clinic/Center | 5920 W William Cannon Dr Bldg 6 Ste 110, Austin, TX 78749 | 2019-10-24 |
| 1508409707 | Gulf Coast Sleep Center and Diagnostics LLC | Clinic/Center | 107 W Way St Ste 19, Lake Jackson, TX 77566-5238 | 2019-10-21 |
| 1124595673 | Fantastic Sleep Studies Solutions & Supplies, LLC | Clinic/Center | 18911 Hardy Oak Blvd Ste 229, San Antonio, TX 78258-4967 | 2018-11-01 |
| 1104393586 | James M Andry Md Pa | Clinic/Center | 19222 Stonehue Ste 105a, San Antonio, TX 78258-3453 | 2018-10-24 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 77316 |
Please comment or provide details below to improve the information on LAKESIDE SLEEP CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.