Organization Active NPI

Northwest Arkansas Sleep Diagnostics LLC

  • Clinical Medical Laboratory
  • Fayetteville, AR
National Provider Identifier
1740581834
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NORTHWEST ARKANSAS SLEEP DIAGNOSTICS LLC
Practice address
350 E Millsap Rd
Fayetteville, AR 72703-4098
Phone
(479) 587-8753
NPI assigned
Nov 5, 2010
Last updated
Nov 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Dodie Rachel Noles
Title
Manager
Phone
(541) 646-0858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

350 E Millsap Rd
Fayetteville, AR 72703-4098

Mailing address

302 E Hersey St Ste 12
Ashland, OR 97520-1957
Phone (541) 646-0858

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1740581834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E HERSEY ST STE 12",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201957",
            "telephone_number": "541-646-0858",
            "fax_number": "541-488-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E MILLSAP RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034098",
            "telephone_number": "479-587-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS SLEEP DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "NOLES",
        "authorized_official_first_name": "DODIE",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-646-0858"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.