E Z Sleep Lab LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

OTC 3748 Issued in AZ

Legal business name

E Z SLEEP LAB LLC

Practice address

1590 Willow Creek Rd
Prescott, AZ 86301-1141

Phone

(866) 397-5337

Fax

(928) 708-0505

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Satty Bhowra

Title

Accounts Manager

Phone

(602) 550-4065

Specialties & licenses 1

Addresses

Other names 1

• E Z Sleep Lab - Prescott Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Arizona Grand Medical Center PLLC

  • Multi-Specialty Clinic/Center
  • Prescott, AZ
  • NPI 1003111378

  Member Of

  NPD member

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1770697013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47729",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850687729",
            "telephone_number": "623-934-5600",
            "fax_number": "623-934-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011141",
            "telephone_number": "866-397-5337",
            "fax_number": "928-708-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E Z SLEEP LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "BHOWRA",
        "authorized_official_first_name": "SATTY",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "602-550-4065"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "AZ",
            "license": "OTC 3748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E Z Sleep Lab - Prescott",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Wilch Dupree, RN
• Kathleen Durborow, RN
• Sonja Dutch
• Elizabeth Herta Dwyer, NP
• E Hospice Group of Arizona No 1 LLC
• Kevin D Earnst
• Lois Marie Eaton, NMD
• Stacey Eckenrod
• Ronael Eckman, MD
• Courtney Edel, PHARMD

• Sleep Disorder Diagnostic Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Sleep Disorder Diagnostic Clinic/Center in Arizona

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