NPI age
19 years
Enumerated 2007-01-25
● Active Type 2 · Organization
Idaho Diagnostic Sleep Lab, Inc.
Idaho Diagnostic Sleep Lab, Inc. is 1 of 11 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Christensen
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 11 active clinic/center providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2423 S Georgia Ave
Caldwell, ID 836054477
Mailing address
526 Shoup Ave W Ste C
Twin Falls, ID 833015050
Authorized official
Sean D Christensen
President
📞 2087367646
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Michonne Pieksma Counselor NPI 1407283393
- Wendy Weston, LPC Counselor NPI 1861963340
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010149908 | BLUE SHIELD OF IDAHO |
| 05 (OR) | 232489 | |
| 01 (ID) | 8L378 | BLUE CROSS OF IDAHO |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Western Sleep Disorders Center
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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