Organization Active NPI

Mississippi Valley Sleep Disorder Center LC

Doing business as MVSDC-Premier Sleep

  • Clinical Medical Laboratory
  • Clinton, IA
National Provider Identifier
1073610341
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MISSISSIPPI VALLEY SLEEP DISORDER CENTER LC
Doing business as
MVSDC-Premier Sleep
Practice address
242 N Bluff Blvd
Clinton, IA 52732-7119
Phone
(563) 242-4233
Fax
(563) 242-4231
NPI assigned
Sep 20, 2006
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Joann Chamberlin, RN, BS
Title
Business Manager
Phone
(563) 322-2036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

242 N Bluff Blvd
Clinton, IA 52732-7119

Mailing address

1230 E Rusholme St
Ste 303
Davenport, IA 52803-2400
Phone (563) 322-2036

Other identifiers 1

IdentifierTypeStateIssuer
0469411MedicaidIA

Other names 1

  • MVSDC-Premier Sleep Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1073610341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E RUSHOLME ST",
            "address_2": "STE 303",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032400",
            "telephone_number": "563-322-2036",
            "fax_number": "563-323-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 N BLUFF BLVD",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327119",
            "telephone_number": "563-242-4233",
            "fax_number": "563-242-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI VALLEY SLEEP DISORDER CENTER LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLIN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "563-322-2036",
        "authorized_official_credential": "RN, BS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469411",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MVSDC-Premier Sleep",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.