NPIMap

Organization Active NPI

Charleston Neuroscience Institute

Doing business as Charleston Sleep LLC

  • Physiological Laboratory
  • Mount Pleasant, SC
National Provider Identifier
1225278641
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
CHARLESTON NEUROSCIENCE INSTITUTE
Doing business as
Charleston Sleep LLC
Practice address
590 Lone Tree Drive Ste 101
Mount Pleasant, SC 29464
Phone
(843) 216-7144
Fax
(843) 216-7145
NPI assigned
Feb 25, 2009
Last updated
May 7, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CHARLESTON NEUROSCIENCE INSTITUTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Dr. Eric Jablon, MD
Title
Partner
Phone
(843) 216-7144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

590 Lone Tree Drive Ste 101
Mount Pleasant, SC 29464

Mailing address

590 Lone Tree Drive Ste 101
Mount Pleasant, SC 29464
Phone (843) 216-7144

Other identifiers 1

IdentifierTypeStateIssuer
GP4411MedicaidSC

Other names 1

  • CHARLESTON SLEEP LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Charleston Neuroscience Institute4 organizations share this tax ID, including this one
Part of
Charleston Neuroscience Institute

Other organizations with this tax ID 3

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": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1225278641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 LONE TREE DRIVE STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-216-7144",
            "fax_number": "843-216-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 LONE TREE DRIVE STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-216-7144",
            "fax_number": "843-216-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON NEUROSCIENCE INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLESTON NEUROSCIENCE INSTITUTE",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "JABLON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-216-7144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4411",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLESTON SLEEP LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.