Integrated Professional Serv LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

44633 Issued in UT

Legal business name

INTEGRATED PROFESSIONAL SERV LLC

Doing business as

Utah Sleep Center

Practice address

515 E 4500 S
Suite G-220
Salt Lake City, UT 84107-4500

Phone

(801) 747-0921

Fax

(801) 747-0986

NPI assigned

Nov 22, 2006

Last updated

Jan 26, 2012By 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. Ikhtiarun Nabi

Title

Manager

Phone

(801) 747-0921

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Utah Sleep Center Doing business as

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1023183043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651004",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841651004",
            "telephone_number": "801-747-0921",
            "fax_number": "801-747-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E 4500 S",
            "address_2": "SUITE G-220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841074500",
            "telephone_number": "801-747-0921",
            "fax_number": "801-747-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PROFESSIONAL SERV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "NABI",
        "authorized_official_first_name": "IKHTIARUN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-747-0921",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "UT",
            "license": "44633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "470001928",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS US DEPT. OF LABOR",
            "identifier": "606218700",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS HEALTH PLANS",
            "identifier": "QM0000061972",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51803040100001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "72595",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sleep Disorder Diagnostic Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Sleep Disorder Diagnostic Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.