Active NPI
Sleep Lab of Northeastern PA
- Sleep Disorder Diagnostic Clinic/Center
- Clarks Summit, PA
National Provider Identifier
1679653109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.