Gateway Sleep Labs, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

GATEWAY SLEEP LABS, LLC

Practice address

12825 Ventura Blvd No 529
Studio City, CA 91604-2368

Phone

(818) 623-8590

Fax

(818) 623-8976

NPI assigned

Jan 31, 2007

Last updated

Oct 7, 2007By 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

David Thomas Pisarra

Title

Director

Phone

(310) 666-9852

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191715200000",
    "number": "1801933817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 PICO BLVD.",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051553",
            "telephone_number": "818-623-8590",
            "fax_number": "818-623-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12825 VENTURA BLVD NO 529",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042368",
            "telephone_number": "818-623-8590",
            "fax_number": "818-623-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY SLEEP LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-10-07",
        "status": "A",
        "authorized_official_last_name": "PISARRA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-666-9852"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Studio City, CA
• Providers in Studio City, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2007; 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.