Tupelo Sleep Diagnostics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TUPELO SLEEP DIAGNOSTICS

Doing business as

The Reggie White Sleep Disorder Center - Tupelo

Practice address

1150 S. Green Street
BLDG. 2, Ste B
Tupelo, MS 38804-4901

Phone

(662) 407-0862

Fax

(662) 407-0865

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Derek Evin Denman Sr.

Title

Ceo/President

Phone

(901) 246-0767

Specialties & licenses 1

Addresses

Other names 1

• The Reggie White Sleep Disorder Center - Tupelo Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1023203932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 AIRWAYS BLVD.",
            "address_2": "STE G",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38671",
            "telephone_number": "662-349-9802",
            "fax_number": "662-253-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S. GREEN STREET",
            "address_2": "BLDG. 2, STE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388044901",
            "telephone_number": "662-407-0862",
            "fax_number": "662-407-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUPELO SLEEP DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "DENMAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "EVIN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "901-246-0767",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Reggie White Sleep Disorder Center - Tupelo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Clinical Medical Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.