OrganizationActive
Lakeside Sleep Center LLC
NPI 1780120006 · Sleep Disorder Diagnostic Clinic/Center · Montgomery, TX
Provider details
- NPI number
- 1780120006
- Entity type
- Organization
- Primary specialty
- Sleep Disorder Diagnostic Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cortnie Wellman, Owner(936) 582-1112
- License
- 1000226 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Suppliers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
123 Blue Heron Dr
Ste 102
Montgomery, TX 77316-3192
Phone: (936) 582-1112
Street-level locationGet directions
Mailing address
123 Blue Heron Dr
Montgomery, TX 77316-3192
Registry dates
- Enumerated
- 2017-01-10
- Last updated
- 2017-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.