Organization Active NPI

St Jude Sleep Solutions

  • Clinical Medical Laboratory
  • Las Vegas, NV
National Provider Identifier
1285938530
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
RC651 Issued in NV
Legal business name
ST JUDE SLEEP SOLUTIONS
Practice address
6268 S Rainbow Blvd
Suite 110
Las Vegas, NV 89118-3240
Phone
(702) 818-4008
Fax
(702) 818-5446
NPI assigned
Dec 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Authorized official

Name
Dyesebel Gica Alvaro, CERTIFIED RESPIRATOR
Title
Respiratory Therapist/Tech
Phone
(702) 885-3371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X RC651 NV Primary

Addresses

Primary practice location

6268 S Rainbow Blvd
Suite 110
Las Vegas, NV 89118-3240

Mailing address

6268 S Rainbow Blvd
Suite 110
Las Vegas, NV 89118-3240
Phone (702) 818-4008

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1285938530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6268 S RAINBOW BLVD",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183240",
            "telephone_number": "702-818-4008",
            "fax_number": "702-818-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6268 S RAINBOW BLVD",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183240",
            "telephone_number": "702-818-4008",
            "fax_number": "702-818-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE SLEEP SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "ALVARO",
        "authorized_official_first_name": "DYESEBEL",
        "authorized_official_middle_name": "GICA",
        "authorized_official_title_or_position": "RESPIRATORY THERAPIST/TECH",
        "authorized_official_telephone_number": "702-885-3371",
        "authorized_official_credential": "CERTIFIED RESPIRATOR"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": "RC651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.