NPIMap

Organization Active NPI

Sleep Disorders CTRS of the Mid Atlantic LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Manassas, VA
National Provider Identifier
1871763490
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SLEEP DISORDERS CTRS OF THE MID ATLANTIC LLC
Practice address
7513 Presidential LN
Manassas, VA 20109-2628
Phone
(703) 474-1191
Fax
(703) 286-7462
NPI assigned
Mar 11, 2008
Last updated
Oct 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
James R Perlstrom, PHDNPI 1760575765
Title
President
Phone
(703) 752-7881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X VA Primary
Durable Medical Equipment & Medical Supplies 332B00000X VA

Addresses

Primary practice location

7513 Presidential LN
Manassas, VA 20109-2628

Mailing address

2235 Cedar LN
Suite 202
Vienna, VA 22182-5202
Phone (703) 752-7881

National Provider Directory

National Provider Directory
Tax ID family
Sleep Disorders CTRS of the Mid Atlantic LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1871763490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 CEDAR LN",
            "address_2": "SUITE 202",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825202",
            "telephone_number": "703-752-7881",
            "fax_number": "703-752-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7513 PRESIDENTIAL LN",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092628",
            "telephone_number": "703-474-1191",
            "fax_number": "703-286-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DISORDERS CTRS OF THE MID ATLANTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "PERLSTROM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-752-7881",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.