Sleep Diagnostics of Utah, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

5846816-0142 Issued in UT

Legal business name

SLEEP DIAGNOSTICS OF UTAH, INC.

Practice address

425 Medical Dr Ste 208
Bountiful, UT 84010-4942

Phone

(801) 298-2191

Fax

(801) 298-2373

NPI assigned

Sep 26, 2006

Last updated

Aug 22, 2020By 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

Ms. Shirley A Bush Aka Davis

Title

President

Phone

(801) 298-2191

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265533590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MEDICAL DR STE 208",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104942",
            "telephone_number": "801-298-2191",
            "fax_number": "801-298-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MEDICAL DR STE 208",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104942",
            "telephone_number": "801-298-2191",
            "fax_number": "801-298-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DIAGNOSTICS OF UTAH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUSH AKA DAVIS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-298-2191",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "UT",
            "license": "5846816-0142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30147200500001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Rose Simpson
• Demetrios Gregory Skedros, M.D.
• Leah Kristine Skuba
• Jennifer Marie Slaughter
• Miranda Madsen Sleeman, RBT
• Alison T Smart, P.T.
• Kaylee Smeding, MSN, FNP-C
• Amy Louise Smith, CMHC
• Angela Smith
• Ariel Smith

• Clinical Medical Laboratory in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Clinical Medical Laboratory in Utah

• 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.