Western Idaho Center for Sleep, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WESTERN IDAHO CENTER FOR SLEEP, LLC

Practice address

302 E Hersey St
Suite 12
Ashland, OR 97520-1200

Phone

(541) 488-7715

Fax

(541) 488-7721

NPI assigned

Nov 19, 2010

Organization subpart

No

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

Authorized official

Name

Dodie R Noles

Title

Manager

Phone

(541) 488-7715

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1013219310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 W SHORELINE DR",
            "address_2": "SUITE 140",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026750",
            "telephone_number": "208-342-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E HERSEY ST",
            "address_2": "SUITE 12",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201200",
            "telephone_number": "541-488-7715",
            "fax_number": "541-488-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN IDAHO CENTER FOR SLEEP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "NOLES",
        "authorized_official_first_name": "DODIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-488-7715"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diane Miriam Werich, L.C.S.W.
• Vivian Sara Weston, PTA
• White Dental Studio PC
• Brandon Adam White, D.D.S.
• Virginia L Whitener, PH.D.
• Philip Whitmore, L.M.T.

• Clinical Medical Laboratory in Ashland, OR
• Providers in Ashland, OR by specialty
• Clinical Medical Laboratory in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.