Organization Active NPI

Lakeshore Sleep Disorder Center, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Birmingham, AL
National Provider Identifier
1013033356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
LAKESHORE SLEEP DISORDER CENTER, LLC
Practice address
1280 Columbiana Rd
Suite 102
Birmingham, AL 35216-1642
Phone
(205) 945-6711
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stewart H Pace
Title
Sr VP of Corporate Development
Phone
(205) 414-7525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

1280 Columbiana Rd
Suite 102
Birmingham, AL 35216-1642

Mailing address

PO Box 689
Jasper, AL 35502-0689
Phone (205) 221-8200

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1280 Columbiana Rd
Ste 102
Vestavia Hills, AL 35216
Phone (205) 871-7570

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013033356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355020689",
            "telephone_number": "205-221-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 COLUMBIANA RD",
            "address_2": "SUITE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352161642",
            "telephone_number": "205-945-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE SLEEP DISORDER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SR VP OF CORPORATE DEVELOPMENT",
        "authorized_official_telephone_number": "205-414-7525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.