Organization Active NPI

Southwest Sleep Disorders Lab LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Phoenix, AZ
National Provider Identifier
1093023525
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
Legal business name
SOUTHWEST SLEEP DISORDERS LAB LLC
Practice address
2401 W Glendale Ave Ste 203
Phoenix, AZ 85021-7677
Phone
(360) 241-1083
NPI assigned
Sep 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Dr. Tariq Doorani, MDNPI 1740240027
Title
Ceo
Phone
(360) 241-1083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sleep Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080S0012X
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084S0012X AZ Primary

Addresses

Primary practice location

2401 W Glendale Ave Ste 203
Phoenix, AZ 85021-7677

Mailing address

PO Box 13515
Mesa, AZ 85216-3515
Phone (360) 241-1083

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1093023525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13515",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852163515",
            "telephone_number": "360-241-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W GLENDALE AVE STE 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217677",
            "telephone_number": "360-241-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SLEEP DISORDERS LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "DOORANI",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-241-1083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080S0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.