Excellent Sleep Study Center, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EXCELLENT SLEEP STUDY CENTER, LLC

Practice address

14489 John Humphrey Dr
Suite 1-SD
Orland Park, IL 60462-2637

Phone

(708) 364-1205

NPI assigned

Jun 22, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Andres J Gallegos

Title

Attorney

Phone

(312) 456-0381

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1730475310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14489 JOHN HUMPHREY DR",
            "address_2": "SUITE 1-SD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622637",
            "telephone_number": "708-364-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14489 JOHN HUMPHREY DR",
            "address_2": "SUITE 1-SD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622637",
            "telephone_number": "708-364-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT SLEEP STUDY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "312-456-0381",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.