Organization Active NPI

Carolina Sleep Diagnostics Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Dillon, SC
National Provider Identifier
1508843939
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
CAROLINA SLEEP DIAGNOSTICS INC
Practice address
200 W Harrison St
Suite B
Dillon, SC 29536-3310
Phone
(843) 841-1220
Fax
(843) 841-2062
NPI assigned
Dec 28, 2005
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Mr. Willie Dean Bell, LPN
Title
Manager
Phone
(843) 841-1220

Specialties & licenses 1

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

Addresses

Primary practice location

200 W Harrison St
Suite B
Dillon, SC 29536-3310

Mailing address

200 W Harrison St
Suite B
Dillon, SC 29536-3310
Phone (843) 841-1220

Other identifiers 2

IdentifierTypeStateIssuer
PL0047MedicaidSC
P00187859OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1508843939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W HARRISON ST",
            "address_2": "SUITE B",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363310",
            "telephone_number": "843-841-1220",
            "fax_number": "843-841-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W HARRISON ST",
            "address_2": "SUITE B",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363310",
            "telephone_number": "843-841-1220",
            "fax_number": "843-841-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SLEEP DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-841-1220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PL0047",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00187859",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.