Island Sleep Lab LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

ISLAND SLEEP LAB LLC

Practice address

58 Shelter Cove Lane
Suite E1
Hilton Head Island, SC 29928

Phone

(843) 842-9919

Fax

(843) 842-9963

NPI assigned

Oct 11, 2006

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

Ms. Susan Fennell

Title

Managing Partner

Phone

(843) 842-9919

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609964964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SHELTER COVE LANE",
            "address_2": "SUITE E1",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "29928",
            "telephone_number": "843-842-9919",
            "fax_number": "843-842-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 SHELTER COVE LANE",
            "address_2": "SUITE E1",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "29928",
            "telephone_number": "843-842-9919",
            "fax_number": "843-842-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND SLEEP LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FENNELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "843-842-9919",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PL0083",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Island Compounding Pharmacy LLC (Stephens Compounding Pharmacy)
• Island Imaging, LLC
• Island Manual & Sports Physical Therapy, LLC (Body Works)
• Island Nurses Healthcare Advocates LLC
• Island Physical Therapy & Sports Rehab
• Island Speech Therapy
• J Ryan Sturgill DC PC
• Craig W Jackson, DDS
• William Robert Jarvis, M.D.
• Elaine T Jeffers, D.C.

• Sleep Disorder Diagnostic Clinic/Center in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Sleep Disorder Diagnostic Clinic/Center in South Carolina

• 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.