Active NPI
St Jude Sleep Solutions
- Clinical Medical Laboratory
- Las Vegas, NV
National Provider Identifier
1285938530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- RC651
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.