Organization Active NPI

Southern Sleep Clinics LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Eufaula, AL
National Provider Identifier
1316069800
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
Z0301 Issued in AL
Legal business name
SOUTHERN SLEEP CLINICS LLC
Practice address
217 S Orange Ave
Eufaula, AL 36027-1628
Phone
(334) 687-4643
Fax
(334) 687-4646
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Michael J Labanowski, MD
Title
Ownermedical Director
Phone
(334) 687-4643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084S0012X Z0301 AL Primary

Addresses

Primary practice location

217 S Orange Ave
Eufaula, AL 36027-1628

Mailing address

217 S Orange Ave
Eufaula, AL 36027-1628
Phone (334) 687-4643

Other identifiers 1

IdentifierTypeStateIssuer
51530726OtherALBCBS AL EUFAULA

National Provider Directory

National Provider Directory

Locations

217 S Orange Ave
Eufaula, AL 36027
Phone (334) 687-4643

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1316069800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S ORANGE AVE",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271628",
            "telephone_number": "334-687-4643",
            "fax_number": "334-687-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S ORANGE AVE",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271628",
            "telephone_number": "334-687-4643",
            "fax_number": "334-687-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SLEEP CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "LABANOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNERMEDICAL DIRECTOR",
        "authorized_official_telephone_number": "334-687-4643",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "AL",
            "license": "Z0301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL EUFAULA",
            "identifier": "51530726",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.