Sentry Medical Corporation

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

51464 Issued in TX

Legal business name

SENTRY MEDICAL CORPORATION

Practice address

855 Central Dr
Suite 15
Odessa, TX 79761-4200

Phone

(432) 331-1492

Fax

(432) 331-1493

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Wayne Samp, CPFT, RRT, RCP

Title

Ceo

Phone

(432) 331-1492

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295939460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 CENTRAL DR",
            "address_2": "SUITE 15",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614200",
            "telephone_number": "432-331-1492",
            "fax_number": "432-331-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 CENTRAL DR",
            "address_2": "SUITE 15",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614200",
            "telephone_number": "432-331-1492",
            "fax_number": "432-331-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTRY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMP",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "432-331-1492",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPFT, RRT, RCP"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "TX",
            "license": "51464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin R Seiler, OPTICIAN
• Hailey Selby
• Simona Paula Selegean, O.D.
• Vani Selvan, M.D.
• Emily Renee Selvera, PT,DPT
• Augusto C Sepulveda, M.D.
• Jaime Serdio Sherwin, M.D.
• Serendipity Therapy Services, PLLC
• Lesley Seright
• Kathia Serrano

• Physiological Laboratory in Odessa, TX
• Providers in Odessa, TX by specialty
• Physiological Laboratory in Texas

• 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.