Diagnostic Sleep Med Center, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DIAGNOSTIC SLEEP MED CENTER, LLC

Practice address

121 Grand Ave
Mars, PA 16046

Phone

(724) 625-0900

Fax

(724) 625-0901

NPI assigned

Aug 8, 2008

Last updated

Aug 8, 2008By 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

Merri Linette Burkhouse, RPST

Title

Director of East Coast Operation

Phone

(814) 335-4204

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1265688394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 GRAND AVE",
            "address_2": "PO BOX 1169",
            "city": "MARS",
            "state": "PA",
            "postal_code": "16046",
            "telephone_number": "724-625-0900",
            "fax_number": "724-625-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 GRAND AVE",
            "city": "MARS",
            "state": "PA",
            "postal_code": "16046",
            "telephone_number": "724-625-0900",
            "fax_number": "724-625-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC SLEEP MED CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "BURKHOUSE",
        "authorized_official_first_name": "MERRI",
        "authorized_official_middle_name": "LINETTE",
        "authorized_official_title_or_position": "DIRECTOR OF EAST COAST OPERATION",
        "authorized_official_telephone_number": "814-335-4204",
        "authorized_official_credential": "RPST"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Andrew D'Antonio
• Jessica Daley, PHARMD
• David a. Smolensky D. C. (Mars Family Chiropractic Center)
• Jamie Lee Demarco
• Susan G Deriso, LSW CEAP
• Molly K Dimatteo, D.O.
• Alexandra Rose Dimoff, LPC, MS
• Ronald Lee Dougalewicz Jr., DPT
• Eckerd Corporation (Rite Aid Pharmacy 10988)
• Elite Chiropractic and Wellness Center, LLC

• Clinical Medical Laboratory in Mars, PA
• Providers in Mars, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.