Respite Sleep Diagnostic Center at the Neurolife Consortium LLC

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

RESPITE SLEEP DIAGNOSTIC CENTER AT THE NEUROLIFE CONSORTIUM LLC

Practice address

3117 College Park Dr Ste 200
The Woodlands, TX 77384-4192

Phone

(281) 319-4910

NPI assigned

Oct 22, 2015

Last updated

Oct 22, 2015By 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

Kim Henry

Title

Credentialling

Phone

(832) 768-0703

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1780056382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 COLLEGE PARK DR STE 200",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844192",
            "telephone_number": "281-319-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 COLLEGE PARK DR STE 200",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844192",
            "telephone_number": "281-319-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESPITE SLEEP DIAGNOSTIC CENTER AT THE NEUROLIFE CONSORTIUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CREDENTIALLING",
        "authorized_official_telephone_number": "832-768-0703"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Technician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Other Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.