Palmetto Sleep Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PALMETTO SLEEP LAB LLC

Practice address

610A Ocean Hwy W
Supply, NC 28462-4048

Phone

(843) 444-0800

Fax

(843) 357-1471

NPI assigned

Apr 18, 2013

Organization subpart

No

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

Authorized official

Name

Jerry Milton Capell

Title

Owner

Phone

(843) 444-0800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1487098794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1226",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295781226",
            "telephone_number": "843-444-0800",
            "fax_number": "843-357-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610A OCEAN HWY W",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624048",
            "telephone_number": "843-444-0800",
            "fax_number": "843-357-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SLEEP LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "CAPELL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-444-0800"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920218",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oceanic Infinite Home Care
• Patricia Grace Oconnor, SLP
• Oih Cap Services
• Oih PCS Services
• Kimberly Palmer, LCSW-C, LCSW
• Palms Health and Wellness,LLC
• Tina Paxton-Peeks
• Casey Madeline Payne
• Joanne Peck, MD
• Maizey Dawn Peek, LCSWA

• Clinical Medical Laboratory in Supply, NC
• Providers in Supply, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.