Organization Active NPI

Pulmonary and Sleep Diagnostics LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Blytheville, AR
National Provider Identifier
1780839340
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
PULMONARY AND SLEEP DIAGNOSTICS LLC
Doing business as
Freedom Sleep Center
Practice address
606 N 5TH St Ste a
Blytheville, AR 72315-2404
Phone
(870) 239-2033
NPI assigned
Nov 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Teresa Mellstrom
Title
Coo
Phone
(870) 239-2033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

606 N 5TH St Ste a
Blytheville, AR 72315-2404

Mailing address

1011 Linwood Dr
Paragould, AR 72450-4861
Phone (870) 239-2033

Other names 1

  • Freedom Sleep Center Doing business as

National Provider Directory

National Provider Directory

Locations

606 N 5th St
Ste A
Blytheville, AR 72315
Phone (870) 239-2033

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1780839340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 LINWOOD DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504861",
            "telephone_number": "870-239-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N 5TH ST STE A",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152404",
            "telephone_number": "870-239-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND SLEEP DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "MELLSTROM",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "870-239-2033"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blytheville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.