BIOSERENITY DT INC. NPI 1992826689

NPI Information

NPI: 1992826689
Provider Name: BIOSERENITY DT INC.

Former Legal Business Name: DIGITRACE CARE SERVICES, INC.

Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
2675 PACES FERRY RD SE STE 150
ATLANTA, GA
ZIP 30339
Phone: (770) 828-0052
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BIOSERENITY DT INC. is a sleep disorder diagnostic clinic center in Atlanta, GA. BIOSERENITY DT INC. NPI is 1992826689. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Digitrace Care Services, Inc..

The provider's business location address is:

2675 PACES FERRY RD SE STE 150
ATLANTA, GA
ZIP 30339-099
Phone: (770) 828-0052

The provider's authorized official is Janice Shock .
The authorized official title is Evp Clinical Operations and has the following contact phone number (214) 532-3757.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 10/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1640523	OTHER	GEORGIA	UNITED HEALTHCARE
2	470001550	OTHER	GEORGIA	RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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