Active NPI
American Sleep Diagnostics LLC
- Clinical Medical Laboratory
- Long Beach, MS
National Provider Identifier
1396779567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- AMERICAN SLEEP DIAGNOSTICS LLC
- Practice address
- 106 Willow Creek Dr
Long Beach, MS 39560-3311 - Phone
- (228) 865-3998
- Fax
- (228) 865-1665
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence Jasper Graves, DDS
- Title
- Managing Partner
- Phone
- (228) 897-1636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | MS | Primary |
Addresses
Primary practice location
106 Willow Creek Dr
Long Beach, MS 39560-3311
Mailing address
PO Box 660
Long Beach, MS 39560-0660
Phone (228) 865-3998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0125706 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100406000226 | MS | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 6608902390 | Practice locations: Long Beach, MS |
| O20130918000255 | MS | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 6608902390 | Practice locations: Biloxi, MS |
National Provider Directory
National Provider DirectoryLocations
993 Tommy Munro Dr
Ste B
Biloxi, MS 39532
Phone (228) 385-5550
106 Willow Creek Dr
Long Beach, MS 39560
Phone (228) 865-3998
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Gulfport, MS
- NPI 1831244540
-
- Optometrist
- Ocean Springs, MS
- NPI 1073595906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396779567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660",
"city": "LONG BEACH",
"state": "MS",
"postal_code": "395600660",
"telephone_number": "228-865-3998",
"fax_number": "228-865-1665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 WILLOW CREEK DR",
"city": "LONG BEACH",
"state": "MS",
"postal_code": "395603311",
"telephone_number": "228-865-3998",
"fax_number": "228-865-1665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN SLEEP DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "JASPER",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "228-897-1636",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0125706",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, MS
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.