Active NPI
Delta Sleep'S Cpap Store
- Sleep Disorder Diagnostic Clinic/Center
- Bloomington, IL
National Provider Identifier
1457655698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- DELTA SLEEP'S CPAP STORE
- Practice address
- 2416 E Washington St
Ste. D4
Bloomington, IL 61704-4472 - Phone
- (309) 663-2727
- Fax
- (309) 663-1818
- NPI assigned
- Jan 3, 2011
- 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
- Mr. Lawrence Joseph Lehane II
- Title
- Owner/President
- Phone
- (309) 663-2727
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
2416 E Washington St
Ste. D4
Bloomington, IL 61704-4472
Mailing address
2416 E Washington St
Ste. D4
Bloomington, IL 61704-4472
Phone (309) 663-2727
National Provider Directory
National Provider DirectoryLocations
2416 E Washington St
Ste D4
Bloomington, IL 61704
Phone (309) 663-2727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398816000000",
"number": "1457655698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2416 E WASHINGTON ST",
"address_2": "STE. D4",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617044472",
"telephone_number": "309-663-2727",
"fax_number": "309-663-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2416 E WASHINGTON ST",
"address_2": "STE. D4",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617044472",
"telephone_number": "309-663-2727",
"fax_number": "309-663-1818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELTA SLEEP'S CPAP STORE",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-03",
"last_updated": "2014-04-30",
"status": "A",
"authorized_official_last_name": "LEHANE",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "309-663-2727",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.