NPIMap

Organization Active NPI

Kentucky Sleep Disorder Center LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Lagrange, KY
National Provider Identifier
1154526655
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
KENTUCKY SLEEP DISORDER CENTER LLC
Practice address
1006 New Moody LN
Lagrange, KY 40031-9122
Phone
(502) 222-0030
Fax
(502) 222-0390
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Nisha Dave
Title
Registered Agent
Phone
(502) 222-0030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

1006 New Moody LN
Lagrange, KY 40031-9122

Mailing address

1006 New Moody LN
Lagrange, KY 40031-9122
Phone (502) 222-0030

National Provider Directory

National Provider Directory
Tax ID family
Kentucky Sleep Disorder Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154526655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 NEW MOODY LN",
            "city": "LAGRANGE",
            "state": "KY",
            "postal_code": "400319122",
            "telephone_number": "502-222-0030",
            "fax_number": "502-222-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 NEW MOODY LN",
            "city": "LAGRANGE",
            "state": "KY",
            "postal_code": "400319122",
            "telephone_number": "502-222-0030",
            "fax_number": "502-222-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY SLEEP DISORDER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "502-222-0030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.