Active NPI
Southern Oregon Sleep Center Inc
- Clinical Medical Laboratory
- Brookings, OR
National Provider Identifier
1629176367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.