Organization Active NPI

Southern Sleep Clinics LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Enterprise, AL
National Provider Identifier
1881716306
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
Z1603 Issued in AL
Legal business name
SOUTHERN SLEEP CLINICS LLC
Practice address
210 N Edwards St
Enterprise, AL 36330-2506
Phone
(334) 393-0921
Fax
(334) 393-0922
NPI assigned
Apr 4, 2007
Last updated
Feb 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Michael J Labanowski, MD
Title
Owner Medical Director
Phone
(334) 791-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X Z1603 AL Primary

Addresses

Primary practice location

210 N Edwards St
Enterprise, AL 36330-2506

Mailing address

210 N Edwards St
Enterprise, AL 36330-2506
Phone (334) 393-0921

Other identifiers 1

IdentifierTypeStateIssuer
51527354OtherALBCBS AL

National Provider Directory

National Provider Directory

Locations

210 N Edwards St
Enterprise, AL 36330
Phone (334) 393-0921

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1881716306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N EDWARDS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302506",
            "telephone_number": "334-393-0921",
            "fax_number": "334-393-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N EDWARDS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302506",
            "telephone_number": "334-393-0921",
            "fax_number": "334-393-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SLEEP CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "LABANOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "334-791-1700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "AL",
            "license": "Z1603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51527354",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.