Active NPI
Sleep Kwest, LLC
- Physiological Laboratory
- Sullivan, MO
National Provider Identifier
1235194002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Rolla, MO
- NPI 1497731525
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.