Atlantic Sleep Disorders Center LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

3431 Issued in SC

Legal business name

ATLANTIC SLEEP DISORDERS CENTER LLC

Practice address

9657 S Ocean Hwy 17
Ste 4B
Pawleys Island, SC 29585-7425

Phone

(843) 235-9831

Fax

(843) 235-9853

NPI assigned

Mar 10, 2010

Last updated

Mar 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Lawrence

Title

Owner

Phone

(843) 235-9831

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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.

• Desmond Young, M.D.

  • Pulmonary Disease Physician
  • Murrells Inlet, SC
  • NPI 1760425532
  NPD

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1255654877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1250",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295851250",
            "telephone_number": "843-235-9831",
            "fax_number": "843-235-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9657 S OCEAN HWY 17",
            "address_2": "STE 4B",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295857425",
            "telephone_number": "843-235-9831",
            "fax_number": "843-235-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC SLEEP DISORDERS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-235-9831",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "SC",
            "license": "3431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PL0096",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Pawley's Island, SC
• Providers in Pawley's Island, SC by specialty
• Physiological Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.