Organization Active NPI

Sleep Labs of the Deep South LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1629032149
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SLEEP LABS OF THE DEEP SOUTH LLC
Practice address
13702 Coursey Boulevard
Building 4 Suite a
Baton Rouge, LA 70817-1370
Phone
(225) 925-3357
Fax
(225) 924-9863
NPI assigned
Apr 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Ms. Rebecca Estelle Gaylord
Title
Office Manager
Phone
(225) 925-3357

Specialties & licenses 1

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

Addresses

Primary practice location

13702 Coursey Boulevard
Building 4 Suite a
Baton Rouge, LA 70817-1370

Mailing address

382 B Carriage House Drive
Jackson, TN 38305-2299
Phone (731) 664-8716

Other identifiers 1

IdentifierTypeStateIssuer
G6949OtherBCBS LA

Other names 1

  • Deep South Sleep Disorders Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

13702 Coursey Blvd
Ste 4A
Baton Rouge, LA 70817
Phone (225) 925-3357

382 Carriage House Dr
Ste B
Jackson, TN 38305
Phone (731) 664-8874

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1629032149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 B CARRIAGE HOUSE DRIVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052299",
            "telephone_number": "731-664-8716",
            "fax_number": "731-664-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13702 COURSEY BOULEVARD",
            "address_2": "BUILDING 4 SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171370",
            "telephone_number": "225-925-3357",
            "fax_number": "225-924-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP LABS OF THE DEEP SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "GAYLORD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ESTELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-925-3357",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "BCBS LA",
            "identifier": "G6949",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deep South Sleep Disorders Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.