Organization Active NPI

Southern Oregon Sleep Center Inc

  • Clinical Medical Laboratory
  • Brookings, OR
National Provider Identifier
1629176367
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SOUTHERN OREGON SLEEP CENTER INC
Practice address
16289 Highway 101 S
Unit D
Brookings, OR 97415-8404
Phone
(541) 469-2792
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Geoff Michael Zanotto
Title
Treasurer
Phone
(541) 469-2792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

16289 Highway 101 S
Unit D
Brookings, OR 97415-8404

Mailing address

16289 Highway 101 S
Unit D
Brookings, OR 97415-8404
Phone (541) 469-2792

National Provider Directory

National Provider Directory

Locations

16289 Highway 101 S
Brookings, OR 97415
Phone (541) 756-3111

16289 Highway 101 S
Ste D
Brookings, OR 97415
Phone (541) 469-2792

572 Parsons Dr
Ste 220
Medford, OR 97501

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1629176367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16289 HIGHWAY 101 S",
            "address_2": "UNIT D",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974158404",
            "telephone_number": "541-469-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16289 HIGHWAY 101 S",
            "address_2": "UNIT D",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974158404",
            "telephone_number": "541-469-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OREGON SLEEP CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "ZANOTTO",
        "authorized_official_first_name": "GEOFF",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "541-469-2792"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.