Organization Active NPI

Buckeye Sleep Diagnostics, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Shelby, OH
National Provider Identifier
1639440340
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
BUCKEYE SLEEP DIAGNOSTICS, LLC
Practice address
3545 Plymouth Springmill Rd
Shelby, OH 44875-9581
Phone
(419) 512-2301
NPI assigned
Jan 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Ms. Lynnette Dee Shafer, RPSGT, RST
Title
Owner
Phone
(419) 512-2301

Specialties & licenses 1

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

Addresses

Primary practice location

3545 Plymouth Springmill Rd
Shelby, OH 44875-9581

Mailing address

3545 Plymouth Springmill Rd
Shelby, OH 44875-9581
Phone (419) 512-2301

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1639440340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 PLYMOUTH SPRINGMILL RD",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448759581",
            "telephone_number": "419-512-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 PLYMOUTH SPRINGMILL RD",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448759581",
            "telephone_number": "419-512-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE SLEEP DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-512-2301",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPSGT, RST"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.