Organization Active NPI

Claire Brooke Sleep Center LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Goose Creek, SC
National Provider Identifier
1205234259
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
CLAIRE BROOKE SLEEP CENTER LLC
Practice address
102 Greenland Dr
Goose Creek, SC 29445-5353
Phone
(843) 203-6551
Fax
(843) 203-6552
NPI assigned
Dec 8, 2014
Last updated
Dec 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Authorized official

Name
Miss Kimberly Dawn Koger, RRT, RPSGT
Title
Owner
Phone
(843) 203-6551

Specialties & licenses 1

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

Addresses

Primary practice location

102 Greenland Dr
Goose Creek, SC 29445-5353

Mailing address

102 Greenland Dr
Goose Creek, SC 29445-5353
Phone (843) 203-6551

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1205234259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 GREENLAND DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455353",
            "telephone_number": "843-203-6551",
            "fax_number": "843-203-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GREENLAND DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455353",
            "telephone_number": "843-203-6551",
            "fax_number": "843-203-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIRE BROOKE SLEEP CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "KOGER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-203-6551",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RRT, RPSGT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.