Organization Active NPI

Lifeline Partners Sleep & Diagnostic Center, Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Beachwood, OH
National Provider Identifier
1215121454
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
LIFELINE PARTNERS SLEEP & DIAGNOSTIC CENTER, INC
Practice address
24700 Chagrin Blvd
Suite 101
Beachwood, OH 44122-5647
Phone
(330) 759-5981
Fax
(330) 759-9677
NPI assigned
Aug 30, 2007
Last updated
Jan 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Bruce Burgdorf
Title
VP
Phone
(330) 759-5681

Specialties & licenses 1

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

Addresses

Primary practice location

24700 Chagrin Blvd
Suite 101
Beachwood, OH 44122-5647

Mailing address

PO Box 8005
Youngstown, OH 44505-8005
Phone (330) 759-5981

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1215121454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8005",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445058005",
            "telephone_number": "330-759-5981",
            "fax_number": "330-759-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24700 CHAGRIN BLVD",
            "address_2": "SUITE 101",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225647",
            "telephone_number": "330-759-5981",
            "fax_number": "330-759-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE PARTNERS SLEEP & DIAGNOSTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "BURGDORF",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "330-759-5681"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.