NPIMap

Organization Active NPI

Southern Sleep Clinics, LLC

  • Physiological Laboratory
  • Dothan, AL
National Provider Identifier
1740238591
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
11900 Issued in AL
Legal business name
SOUTHERN SLEEP CLINICS, LLC
Practice address
2346 W Main St
Ste. 2
Dothan, AL 36301-1224
Phone
(334) 673-2501
Fax
(334) 673-2502
NPI assigned
May 4, 2006
Last updated
Feb 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Michael J Labanowski, M.D.NPI 1225086366
Title
Owner/Medical Director
Phone
(334) 673-2501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 12156 AL
Physiological Laboratory 293D00000X 11900 AL Primary

Addresses

Primary practice location

2346 W Main St
Ste. 2
Dothan, AL 36301-1224

Mailing address

2346 W Main St
Ste. 2
Dothan, AL 36301-1224
Phone (334) 673-2501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040211000006 AL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2163316134 Practice locations: Dothan, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1740238591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 W MAIN ST",
            "address_2": "STE. 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011224",
            "telephone_number": "334-673-2501",
            "fax_number": "334-673-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2346 W MAIN ST",
            "address_2": "STE. 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011224",
            "telephone_number": "334-673-2501",
            "fax_number": "334-673-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SLEEP CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "LABANOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "334-673-2501",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "AL",
            "license": "12156",
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "AL",
            "license": "11900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.