Active NPI
Socoro LLC
- Sleep Disorder Diagnostic Clinic/Center
- Bellevue, NE
National Provider Identifier
1609185230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- SOCORO LLC
- Doing business as
- R.E.M. Sleep Center of Bellevue
- Practice address
- 2510 Bellevue Medical Center Dr
Suite 170
Bellevue, NE 68123-1520 - Phone
- (402) 670-8903
- Fax
- (402) 991-7981
- NPI assigned
- Sep 30, 2010
- Organization subpart
- Yes
- Parent organization
- R.E.M. SLEEP CENTER OF BELLEVUE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jon B Novak
- Title
- President
- Phone
- (402) 933-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
2510 Bellevue Medical Center Dr
Suite 170
Bellevue, NE 68123-1520
Mailing address
2510 Bellevue Medical Center Dr
Suite 170
Bellevue, NE 68123-1520
Phone (402) 991-7832
Other names 1
- R.E.M. Sleep Center of Bellevue
National Provider Directory
National Provider Directory- Part of
- Socoro LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325721600000",
"number": "1609185230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 BELLEVUE MEDICAL CENTER DR",
"address_2": "SUITE 170",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681231520",
"telephone_number": "402-991-7832",
"fax_number": "402-991-7981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 BELLEVUE MEDICAL CENTER DR",
"address_2": "SUITE 170",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681231520",
"telephone_number": "402-670-8903",
"fax_number": "402-991-7981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCORO LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "R.E.M. SLEEP CENTER OF BELLEVUE",
"enumeration_date": "2010-09-30",
"last_updated": "2012-01-05",
"status": "A",
"authorized_official_last_name": "NOVAK",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-933-0400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "R.E.M. Sleep Center of Bellevue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.