Organization Active NPI

Rest-Moore Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Middlesboro, KY
National Provider Identifier
1467825182
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
REST-MOORE INC.
Practice address
1632 Cumberland Ave
Suite 1
Middlesboro, KY 40965-1378
Phone
(606) 302-4309
Fax
(606) 766-0808
NPI assigned
Nov 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Mr. Morgan Miracle, RRTNPI 1548631237
Title
President/Owner
Phone
(606) 302-4309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

1632 Cumberland Ave
Suite 1
Middlesboro, KY 40965-1378

Mailing address

1632 Cumberland Ave
Suite 1
Middlesboro, KY 40965-1378
Phone (606) 302-4309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160222000565 KY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9931404415 Practice locations: Middlesboro, KY
O20240605001224 TN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9931404415 Practice locations: Tazewell, TN

National Provider Directory

National Provider Directory

Locations

1632 Cumberland Ave
Ste 1
Middlesboro, KY 40965
Phone (606) 302-4309

2444 Highway 25E
Ste 2
Tazewell, TN 37879
Phone (606) 302-4309

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1467825182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 CUMBERLAND AVE",
            "address_2": "SUITE 1",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651378",
            "telephone_number": "606-302-4309",
            "fax_number": "606-766-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 CUMBERLAND AVE",
            "address_2": "SUITE 1",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651378",
            "telephone_number": "606-302-4309",
            "fax_number": "606-766-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REST-MOORE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "MIRACLE",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "606-302-4309",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.

Verify at the official NPI Registry.