Bullitt County Sleep Disordrs Lab

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

1130 Issued in KY

Legal business name

BULLITT COUNTY SLEEP DISORDRS LAB

Practice address

815 John Harper Rd
Suite 6
Shepherdsville, KY 40165-7463

Phone

(502) 957-0317

Fax

(502) 957-0323

NPI assigned

Jan 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ray H. Hack, CRT

Title

President

Phone

(502) 957-0317

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528115508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 JOHN HARPER RD",
            "address_2": "SUITE 6",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657463",
            "telephone_number": "502-957-0317",
            "fax_number": "502-957-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 JOHN HARPER RD",
            "address_2": "SUITE 6",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657463",
            "telephone_number": "502-957-0317",
            "fax_number": "502-957-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLITT COUNTY SLEEP DISORDRS LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HACK",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-957-0317",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "KY",
            "license": "1130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bullitt County Family Care Center, P.L.L.C.
• Bullitt County Family Care Center, PLLC
• Bullitt County Fiscal Court (Bullitt Co. EMS)
• Bullitt County Foot and Ankle Center
• Bullitt County Health Department
• Patrick J Burke, LCSW
• Emily Paige Burns
• Rebecca Marie Burress, PHARMD
• C K Dental, Inc. (North Bullitt Family Dental)
• C&K Holdings (BrightStar)

• Other Technician in Shepherdsville, KY
• Providers in Shepherdsville, KY by specialty
• Other Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.