Robert a Mackin, MD Dba Northern Arizona Sleep Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

17570 Issued in AZ

Legal business name

ROBERT A MACKIN, MD DBA NORTHERN ARIZONA SLEEP LAB

Practice address

77 W Forest Ave Ste 205
Flagstaff, AZ 86001-1483

Phone

(928) 773-1748

Fax

(928) 773-9022

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Mackin, M.D.NPI 1447334784

Title

Owner

Phone

(928) 773-1748

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert A Mackin, M.D.

  • Cardiovascular Disease Physician
  • Flagstaff, AZ
  • NPI 1447334784
  NPD (past) Authorized official

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1649444282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE STE 205",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011483",
            "telephone_number": "928-773-1748",
            "fax_number": "928-773-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE STE 205",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011483",
            "telephone_number": "928-773-1748",
            "fax_number": "928-773-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A MACKIN, MD DBA NORTHERN ARIZONA SLEEP LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "MACKIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-773-1748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "17570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ0257580",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913807",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabella Rivera, OTR/LR
• Marisela Frances Rosales Rivera
• Savanna Arlene Roan
• Frances M Robbins, PH.D.
• Spencer Roberson, MD
• Robert J. Brownsberger, MD PC
• Robert Wayne Miller II
• Audrey Jean Roberts, MD
• Diana Ray Roberts, COTA/L
• Jennifer Roberts

• Clinical Medical Laboratory in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.