Organization Active NPI

Atlantic Sleep Lab, Inc.

  • Clinical Medical Laboratory
  • Macon, GA
National Provider Identifier
1114051828
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
044029 Issued in GA
Legal business name
ATLANTIC SLEEP LAB, INC.
Practice address
560 1St St
Macon, GA 31201-2824
Phone
(478) 744-9603
Fax
(478) 744-9552
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Iyabo Muraina
Title
Business Manager
Phone
(478) 744-9603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 044029 GA Primary

Addresses

Primary practice location

560 1St St
Macon, GA 31201-2824

Mailing address

PO Box 24299
Macon, GA 31212-4299
Phone (478) 744-9603

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1114051828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24299",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312124299",
            "telephone_number": "478-744-9603",
            "fax_number": "478-744-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012824",
            "telephone_number": "478-744-9603",
            "fax_number": "478-744-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC SLEEP LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "MURAINA",
        "authorized_official_first_name": "IYABO",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "478-744-9603"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "044029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.