Active NPI
Sleepez Diagnostic Center Inc.
- Sleep Disorder Diagnostic Clinic/Center
- Salem, VA
National Provider Identifier
1740234905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- License
- 0101230727
- Legal business name
- SLEEPEZ DIAGNOSTIC CENTER INC.
- Practice address
- 1957 W Main St
Salem, VA 24153-3109 - Phone
- (540) 375-7735
- NPI assigned
- May 20, 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
- Raquel R Rothe
- Title
- Owner/President
- Phone
- (540) 375-7735
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | 0101230727 | VA | Primary |
Addresses
Primary practice location
1957 W Main St
Salem, VA 24153-3109
Mailing address
1957 W Main St
Salem, VA 24153-3109
Phone (540) 375-7735
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10237467 | Medicaid | VA | |
| 188389 | Other | VA | ANTHEM |
| 10242983 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
1802 Braeburn Dr
#1C30
Salem, VA 24153
Phone (540) 375-7735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740234905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1957 W MAIN ST",
"city": "SALEM",
"state": "VA",
"postal_code": "241533109",
"telephone_number": "540-375-7735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1957 W MAIN ST",
"city": "SALEM",
"state": "VA",
"postal_code": "241533109",
"telephone_number": "540-375-7735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEPEZ DIAGNOSTIC CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROTHE",
"authorized_official_first_name": "RAQUEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "540-375-7735"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": "VA",
"license": "0101230727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10237467",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "188389",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10242983",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.