Organization Active NPI

Frontier Diagnostic Sleep Center LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Omaha, NE
National Provider Identifier
1215160486
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
FRONTIER DIAGNOSTIC SLEEP CENTER LLC
Practice address
8425 F Street
Suite B
Omaha, NE 68127-1628
Phone
(402) 392-9947
Fax
(402) 339-9455
NPI assigned
Sep 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Sydney E Klein
Title
Director/Vice Pres.
Phone
(308) 784-3040

Specialties & licenses 1

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

Addresses

Primary practice location

8425 F Street
Suite B
Omaha, NE 68127-1628

Mailing address

8425 F St
Suite B
Omaha, NE 68127-1628
Phone (402) 392-9947

Other names 1

  • PM Sleep Lab III, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100504000499 NE Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2567590086 Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

8425 F St
Ste B
Omaha, NE 68127
Phone (402) 339-7378

Practitioners & affiliated clinicians

Practitioners 1

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": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1215160486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8425 F ST",
            "address_2": "SUITE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271628",
            "telephone_number": "402-392-9947",
            "fax_number": "402-339-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 F STREET",
            "address_2": "SUITE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271628",
            "telephone_number": "402-392-9947",
            "fax_number": "402-339-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER DIAGNOSTIC SLEEP CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR/VICE PRES.",
        "authorized_official_telephone_number": "308-784-3040"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PM Sleep Lab III, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.