Organization Active NPI

Sleep Consulting LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Draper, UT
National Provider Identifier
1336407303
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
6201987-1205 Issued in UT
Legal business name
SLEEP CONSULTING LLC
Practice address
11576 S State St
Suite 1001
Draper, UT 84020-6431
Phone
(385) 214-5682
Fax
(888) 503-0041
NPI assigned
Apr 27, 2012
Last updated
Jul 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Seth B Wallace, MD
Title
President, Ceo
Phone
(801) 726-1342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 6201987-1205 UT Primary

Addresses

Primary practice location

11576 S State St
Suite 1001
Draper, UT 84020-6431

Mailing address

10712 S 1300 E
Sandy, UT 84094-5094

National Provider Directory

National Provider Directory

Locations

11576 S State St
Ste 1001
Draper, UT 84020
Phone (801) 550-3665

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1336407303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10712 S 1300 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840945094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11576 S STATE ST",
            "address_2": "SUITE 1001",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206431",
            "telephone_number": "385-214-5682",
            "fax_number": "888-503-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "801-726-1342",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "UT",
            "license": "6201987-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.