Organization Active NPI

McDowell Professioal Sleep Lab

  • Other Specialist/Technologist
  • Welch, WV
National Provider Identifier
1417088741
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
2001-0013 Issued in WV
Legal business name
MCDOWELL PROFESSIOAL SLEEP LAB
Practice address
Route52 Main Street
Welch, WV 24801
Phone
(304) 228-7735
NPI assigned
Mar 8, 2007
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
Annie L Pysz
Title
Owner
Phone
(304) 228-7735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246Z00000X 2001-0013 WV Primary

Addresses

Primary practice location

Route52 Main Street
Welch, WV 24801

Mailing address

PO Box 1145
Princeton, WV 24740-1145
Phone (304) 228-7735

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417088741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1145",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247401145",
            "telephone_number": "304-228-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE52 MAIN STREET",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "24801",
            "telephone_number": "304-228-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDOWELL PROFESSIOAL SLEEP LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PYSZ",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-228-7735"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": "WV",
            "license": "2001-0013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Welch, WV

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.