Agile DX

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

AGILE DX

Practice address

3413 56TH St NW
Suite C
Gig Harbor, WA 98335-8341

Phone

(253) 853-1712

NPI assigned

Oct 21, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Sean Muilenburg

Title

President/Ceo

Phone

(253) 853-1712

Specialties & licenses 2

Addresses

Other names 1

• US Sleep Diagnostics Doing business as

Locations

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1780910091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 POINT FOSDICK DR NW # 440",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351733",
            "telephone_number": "866-304-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 56TH ST NW",
            "address_2": "SUITE C",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358341",
            "telephone_number": "253-853-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGILE DX",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "MUILENBURG",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "253-853-1712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Sleep Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dimitri Panagis Aggelidakis, LMP
• Alisa Dewon Ahearn-Spector, LMP
• Tae Mo Ahn, D.C.
• James Leonard Aichlmayr, DMD
• Patra Vasiliki Alatsis, DMD MS
• Albertsons LLC

• Sleep Disorder Diagnostic Clinic/Center in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Sleep Disorder Diagnostic Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.