Sleepwell Partner LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

SLEEPWELL PARTNER LLC

Practice address

12901 SE 97TH Ave
Clackamas, OR 97015-7901

Phone

(503) 652-0067

Fax

(503) 652-0068

NPI assigned

Jun 21, 2005

Last updated

Mar 31, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

AVASTRA USAAs reported in NPPES

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

Authorized official

Name

Mr. Keith Greisl

Title

President/ Coo

Phone

(317) 706-1080

Specialties & licenses 2

Addresses

Other identifiers 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sleepwell Partners, LLC

  dba CardioSom

  • Sleep Disorder Diagnostic Clinic/Center
  • Midvale, UT
  • NPI 1942206370

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1437155934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W CARMEL DR",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325504",
            "telephone_number": "317-706-1080",
            "fax_number": "317-706-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 SE 97TH AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157901",
            "telephone_number": "503-652-0067",
            "fax_number": "503-652-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEPWELL PARTNER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVASTRA USA",
        "enumeration_date": "2005-06-21",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "GREISL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT/ COO",
        "authorized_official_telephone_number": "317-706-1080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247423",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "820243000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelina Rene Skokan, CNM
• Dane James Slagle, CRNA
• Sleep Technologies LTD (Sleep Technologies)
• Sleepwell Laboratories Inc
• Sleepwell Laboratories, Inc.
• Sleepwell Partner LLC
• Sleepwell Partner LLC
• Sleepwell Partner LLC
• Tami Lynette Smick, MBA, PT
• Kimberley Lynne Smith Daly, BC-DMT, CADC-R, LPC

• Sleep Disorder Diagnostic Clinic/Center in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Sleep Disorder Diagnostic Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.