Southern Sleep Clinics, LLC

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

Organization subpart

No

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

Authorized official

Name

Michael J Labanowski, M.D.

Title

Owner/Medical Director

Phone

(334) 673-2501

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51521455",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Southwood Radiology
• Alaina Arnold Sowell, RD, LD
• Micheal Anthony Spann, R.D.,C.D.E.
• Michele Ann Spann

• Physiological Laboratory in Dothan, AL
• Providers in Dothan, AL by specialty
• Physiological Laboratory in Alabama

• 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.