NPI age
19 years
Enumerated 2007-01-24
● 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
2012-01-11
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
526 Shoup Ave W Ste C
Twin Falls, ID 833015050
Mailing address
526 Shoup Ave W Ste C
Twin Falls, ID 833015050
Authorized official
Sean D Christensen
President
📞 2087367646
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 85563 | BLUE CROSS OF IDAHO |
| 05 (ID) | 002743400 | |
| 01 (ID) | P00091316 | RAILROAD MEDICARE |
| 01 (ID) | 000010000391 | BLUE SHIELD OF IDAHO |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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