Active NPI
Cochise County Neurodiagnostics
- Sleep Disorder Diagnostic Clinic/Center
- Sierra Vista, AZ
National Provider Identifier
1053602987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- License
- 8867
- Legal business name
- COCHISE COUNTY NEURODIAGNOSTICS
- Practice address
- 2160 E Fry Blvd Ste C5
Sierra Vista, AZ 85635-2794 - Phone
- (520) 335-7135
- NPI assigned
- Apr 26, 2011
- Last updated
- Apr 26, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brendalee A McIntyre, B.S., RPSGT, REEGT
- Title
- Owner
- Phone
- (520) 335-7135
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | 8867 | AZ | Primary |
Addresses
Primary practice location
2160 E Fry Blvd Ste C5
Sierra Vista, AZ 85635-2794
Mailing address
2160 E Fry Blvd Ste C5
Sierra Vista, AZ 85635-2794
Phone (520) 335-7135
National Provider Directory
National Provider DirectoryLocations
2160 E Fry Blvd
Ste C5
Sierra Vista, AZ 85635
Phone (520) 335-7135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303776000000",
"number": "1053602987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 E FRY BLVD STE C5",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352794",
"telephone_number": "520-335-7135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 E FRY BLVD STE C5",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352794",
"telephone_number": "520-335-7135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COCHISE COUNTY NEURODIAGNOSTICS",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-26",
"last_updated": "2011-04-26",
"status": "A",
"authorized_official_last_name": "MCINTYRE",
"authorized_official_first_name": "BRENDALEE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-335-7135",
"authorized_official_credential": "B.S., RPSGT, REEGT"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": "AZ",
"license": "8867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
- John Franklin Clay II, DO
- Margarita Clemons, NP
- Kevin Clifford, DO
- Cochise Area Network for Therapeutic Equestrian Resources
- Cochise County Dialysis and Kidney Care PLLC
- Cochise Digestive Health Center PLLC
- Cochise Ear Nose and Throat Associates PLLC
- Cochise Group Anesthesia Services, LLC
- Cochise Health and Wellness PLC
- Cochise Heart and Vascular Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.