Organization Active NPI

Bay Area Sleep Diagnostic Center, LLC

  • Clinical Medical Laboratory
  • Tampa, FL
National Provider Identifier
1336232040
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
HCC5474 Issued in FL
Legal business name
BAY AREA SLEEP DIAGNOSTIC CENTER, LLC
Practice address
16112 N Florida Avenue
Tampa, FL 33549
Phone
(813) 264-9050
Fax
(813) 319-1127
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Erica Williams
Title
VP of Business Operations
Phone
(813) 264-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X HCC5474 FL Primary

Addresses

Primary practice location

16112 N Florida Avenue
Tampa, FL 33549

Mailing address

1323 W. Fletcher Ave
Tampa, FL 33612
Phone (813) 264-9050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336232040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 W. FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33612",
            "telephone_number": "813-264-9050",
            "fax_number": "813-319-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16112 N FLORIDA AVENUE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33549",
            "telephone_number": "813-264-9050",
            "fax_number": "813-319-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA SLEEP DIAGNOSTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "VP OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "813-264-9050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "HCC5474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • 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.