Organization Active NPI

Sleep Lab of Northeastern PA

  • Sleep Disorder Diagnostic Clinic/Center
  • Clarks Summit, PA
National Provider Identifier
1679653109
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SLEEP LAB OF NORTHEASTERN PA
Practice address
231 Northern Blvd
Suite 2
Clarks Summit, PA 18411-9189
Phone
(570) 585-6220
Fax
(570) 585-6234
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Mr. David P. Washo, RPSGT, RRT
Title
Administrative Director
Phone
(570) 585-6220

Specialties & licenses 1

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

Addresses

Primary practice location

231 Northern Blvd
Suite 2
Clarks Summit, PA 18411-9189

Mailing address

231 Northern Blvd
Suite 2
Clarks Summit, PA 18411-9189
Phone (570) 585-6220

National Provider Directory

National Provider Directory

Locations

231 Northern Blvd
Ste 2
South Abington Township, PA 18411
Phone (570) 585-6220

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1679653109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 NORTHERN BLVD",
            "address_2": "SUITE 2",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119189",
            "telephone_number": "570-585-6220",
            "fax_number": "570-585-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 NORTHERN BLVD",
            "address_2": "SUITE 2",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119189",
            "telephone_number": "570-585-6220",
            "fax_number": "570-585-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP LAB OF NORTHEASTERN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "WASHO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "570-585-6220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPSGT, RRT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.