Active NPI
Sleepmed Phoenix, LLC
- Sleep Disorder Diagnostic Clinic/Center
- Phoenix, AZ
National Provider Identifier
1558690313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- SLEEPMED PHOENIX, LLC
- Practice address
- 15215 S 48TH St
Suite 133
Phoenix, AZ 85044-9142 - Phone
- (480) 598-4012
- NPI assigned
- Dec 8, 2009
- Last updated
- Dec 21, 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
- Carl Iberger
- Title
- Evp-Cao
- Phone
- (978) 536-7400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
15215 S 48TH St
Suite 133
Phoenix, AZ 85044-9142
Mailing address
200 Corporate PL
Suite 5B
Peabody, MA 01960-3840
Phone (978) 536-7400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00763325 | Other | AZ | RAILROAD MEDICARE |
| 657353 | Medicaid | AZ | |
| Z136360 | Other | AZ | MEDICARE |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Medi Home Care
- Durable Medical Equipment & Medical Supplies
- Chesapeake, VA
- NPI 1629051719
Member Of
Locations
2450 E Guadalupe Rd
Ste 103A
Gilbert, AZ 85234
Phone (480) 813-3882
3811 E Bell Rd
Ste 209
Phoenix, AZ 85032
Phone (602) 765-1620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324425600000",
"number": "1558690313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE PL",
"address_2": "SUITE 5B",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603840",
"telephone_number": "978-536-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15215 S 48TH ST",
"address_2": "SUITE 133",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850449142",
"telephone_number": "480-598-4012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEPMED PHOENIX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-08",
"last_updated": "2011-12-21",
"status": "A",
"authorized_official_last_name": "IBERGER",
"authorized_official_first_name": "CARL",
"authorized_official_title_or_position": "EVP-CAO",
"authorized_official_telephone_number": "978-536-7400"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00763325",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "657353",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Z136360",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.