Active NPI
Mississippi Valley Sleep Disorder Center LC
Doing business as MVSDC-Premier Sleep
- Clinical Medical Laboratory
- Clinton, IA
National Provider Identifier
1073610341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2008
- 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
- Joann Chamberlin, RN, BS
- Title
- Business Manager
- Phone
- (563) 322-2036
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0469411 | Medicaid | IA |
Other names 1
- MVSDC-Premier Sleep
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pulmonary Disease Physician
- Davenport, IA
- NPI 1104891704
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.