Organization Active NPI

Gulf Coast Comprehensive Sleep Medicine Center

Doing business as Comprehensivie Sleep Medicine Center

  • Clinical Medical Laboratory
  • Destrehan, LA
National Provider Identifier
1760504344
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GULF COAST COMPREHENSIVE SLEEP MEDICINE CENTER
Doing business as
Comprehensivie Sleep Medicine Center
Practice address
1972 Ormond Blvd
Suite B
Destrehan, LA 70047-3818
Phone
(985) 764-1441
NPI assigned
Apr 4, 2007
Last updated
Oct 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Mrs. Cindy Mack
Title
Owner Technical Director
Phone
(985) 764-1441

Specialties & licenses 1

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

Addresses

Primary practice location

1972 Ormond Blvd
Suite B
Destrehan, LA 70047-3818

Mailing address

1972 Ormond Blvd
Suite B
Destrehan, LA 70047-3818

Other names 1

  • Comprehensivie Sleep Medicine Center Doing business as

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1760504344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1972 ORMOND BLVD",
            "address_2": "SUITE B",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700473818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1972 ORMOND BLVD",
            "address_2": "SUITE B",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700473818",
            "telephone_number": "985-764-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST COMPREHENSIVE SLEEP MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER TECHNICAL DIRECTOR",
        "authorized_official_telephone_number": "985-764-1441",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensivie Sleep Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Destrehan, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.