Organization Active NPI

Sleep Kwest, LLC

  • Physiological Laboratory
  • Sullivan, MO
National Provider Identifier
1235194002
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
SLEEP KWEST, LLC
Practice address
101B Progress Pkwy
Sullivan, MO 63080-2359
Phone
(573) 860-4004
Fax
(573) 860-4003
NPI assigned
Apr 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Shiron Matlock, RPSGT/RMLT
Title
President
Phone
(573) 860-4004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X MO Primary

Addresses

Primary practice location

101B Progress Pkwy
Sullivan, MO 63080-2359

Mailing address

101B Progress Pkwy
Sullivan, MO 63080-2359
Phone (573) 860-4004

National Provider Directory

National Provider Directory

Locations

101 Progress Pkwy
Lowr
Sullivan, MO 63080
Phone (573) 860-4004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235194002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101B PROGRESS PKWY",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630802359",
            "telephone_number": "573-860-4004",
            "fax_number": "573-860-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101B PROGRESS PKWY",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630802359",
            "telephone_number": "573-860-4004",
            "fax_number": "573-860-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP KWEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATLOCK",
        "authorized_official_first_name": "SHIRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-860-4004",
        "authorized_official_credential": "RPSGT/RMLT"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sullivan, MO

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.