Atlas Sleep Diagnostics LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

603514766 Issued in WA

Legal business name

ATLAS SLEEP DIAGNOSTICS LLC

Practice address

3627 Ensign Rd NE Ste a
Olympia, WA 98506-6104

Phone

(360) 998-3232

Fax

(360) 998-3238

NPI assigned

Feb 4, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marsha M Fulton, RPSGT

Title

Director of Operations

Phone

(360) 998-3232

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760840755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 ENSIGN RD NE STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985066104",
            "telephone_number": "360-998-3232",
            "fax_number": "360-998-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 ENSIGN RD NE STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985066104",
            "telephone_number": "360-998-3232",
            "fax_number": "360-998-3238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2007 152nd Ave NE",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980525521",
            "country_code": "US",
            "telephone_number": "360-998-3232",
            "fax_number": "877-655-7595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLAS SLEEP DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "360-998-3232",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "603514766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.