Organization Active NPI

Nevada Sleep Diagnostics, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1689821118
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
9072 Issued in NV
Legal business name
NEVADA SLEEP DIAGNOSTICS, INC.
Practice address
2911 N Tenaya Way Ste 100
Las Vegas, NV 89128-0488
Phone
(702) 990-7660
Fax
(702) 990-7665
NPI assigned
Aug 27, 2008
Organization subpart
Yes
Parent organization
NEVADA SLEEP DIAGNOSTICS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Mr. Robert H Labanowski, CPA
Title
Coo/Cfo
Phone
(702) 990-7660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 9072 NV Primary

Addresses

Primary practice location

2911 N Tenaya Way Ste 100
Las Vegas, NV 89128-0488

Mailing address

7455 Arroyo Crossing Pkwy Ste 220
Las Vegas, NV 89113-4088
Phone (702) 990-7660

Other practice location 1

2911 N.Tenaya Way
Suite 200
Las Vegas, NV 89128
Phone (702) 990-7660

Other identifiers 1

IdentifierTypeStateIssuer
100515643MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070502000172 NV Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1658477096 Practice locations: Las Vegas, NV

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Nevada Sleep Diagnostic Inc2 organizations share this tax ID, including this one
Part of
Nevada Sleep Diagnostic Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1689821118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 ARROYO CROSSING PKWY STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134088",
            "telephone_number": "702-990-7660",
            "fax_number": "702-990-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 N TENAYA WAY STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280488",
            "telephone_number": "702-990-7660",
            "fax_number": "702-990-7665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2911 N.Tenaya Way",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89128",
            "country_code": "US",
            "telephone_number": "702-990-7660",
            "fax_number": "702-990-7665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEVADA SLEEP DIAGNOSTICS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEVADA SLEEP DIAGNOSTICS, INC.",
        "enumeration_date": "2008-08-27",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "LABANOWSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "702-990-7660",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NV",
            "license": "9072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100515643",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.