Advanced Sleep Diagnostics, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

28804 Issued in TN

Legal business name

ADVANCED SLEEP DIAGNOSTICS, INC.

Doing business as

Advanced Sleep Diagnostic

Practice address

439 W Bockman Way
Sparta, TN 38583-1810

Phone

(931) 836-8492

Fax

(931) 836-3633

NPI assigned

Feb 9, 2007

Last updated

Oct 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tomasz Adam Zurawek, MD

Title

Medical Director

Phone

(931) 836-8492

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Sleep Diagnostic Doing business as

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1356482764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 W BOCKMAN WAY",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831810",
            "telephone_number": "931-836-8492",
            "fax_number": "931-836-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 W BOCKMAN WAY",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831810",
            "telephone_number": "931-836-8492",
            "fax_number": "931-836-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SLEEP DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "ZURAWEK",
        "authorized_official_first_name": "TOMASZ",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "931-836-8492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "28804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4018992",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Sleep Diagnostic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Sparta, TN
• Providers in Sparta, TN by specialty
• Clinical Medical Laboratory in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.