Organization Active NPI

Alice Sleep Lab Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Alice, TX
National Provider Identifier
1265586689
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
ALICE SLEEP LAB INC
Practice address
411 Flournoy Rd
Ste 200
Alice, TX 78332-4084
Phone
(361) 664-1042
Fax
(361) 664-1091
NPI assigned
Jan 23, 2007
Last updated
Jan 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Mr. Ruben Medina, CRTT
Title
Manager
Phone
(361) 664-1042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

411 Flournoy Rd
Ste 200
Alice, TX 78332-4084

Mailing address

PO Box 7751
Corpus Christi, TX 78467-7751
Phone (361) 664-1042

National Provider Directory

National Provider Directory

Locations

411 Flournoy Rd
Ste 200
Alice, TX 78332
Phone (361) 453-4007

501 Flournoy Rd
Alice, TX 78332
Phone (361) 664-1042

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1265586689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7751",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784677751",
            "telephone_number": "361-664-1042",
            "fax_number": "361-664-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 FLOURNOY RD",
            "address_2": "STE 200",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324084",
            "telephone_number": "361-664-1042",
            "fax_number": "361-664-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE SLEEP LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "361-664-1042",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRTT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.