Sma Sleep Lab Diagnostic Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

SMA SLEEP LAB DIAGNOSTIC INC

Practice address

1408 S Decatur Blvd
Las Vegas, NV 89102-8511

Phone

(702) 333-0350

Fax

(702) 333-0351

NPI assigned

Nov 1, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Vahagn Avetisyan

Title

President

Phone

(702) 333-0350

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1790039584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028511",
            "telephone_number": "702-333-0350",
            "fax_number": "702-333-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028511",
            "telephone_number": "702-333-0350",
            "fax_number": "702-333-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMA SLEEP LAB DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "VAHAGN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-333-0350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syonn Arie Slugg
• Ethel Sly-Greggs
• Isabella Marie Sly, RBT
• Shayla Sly, RBT
• Khawa Daryaweesh Slywa
• Nocona Smales
• Jessika Lin Smaling
• Small Concierge Group PLLC (Care Collective Concierge)
• Adam Small, PCA CERTIFICATE
• Brent Small, BS

• Sleep Disorder Diagnostic Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Sleep Disorder Diagnostic Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.