Palestine HMS Sleep Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PALESTINE HMS SLEEP LAB

Practice address

101 Moore Dr
Palestine, TX 75801-5909

Phone

(903) 675-9360

Fax

(903) 675-1570

NPI assigned

Jan 16, 2008

Last updated

Jan 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jerry Wayne Horn

Title

Manager

Phone

(903) 675-9360

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1003092313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757510512",
            "telephone_number": "903-675-9360",
            "fax_number": "903-675-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MOORE DR",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758015909",
            "telephone_number": "903-675-9360",
            "fax_number": "903-675-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALESTINE HMS SLEEP LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-675-9360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PL 7183",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Palestine Laser & Surgery Center PLLC
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• Palestine Pharmacy LLC (Palestine Pharmacy LTC)

• Clinical Medical Laboratory in Palestine, TX
• Providers in Palestine, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.