National Sleep Diagnostics

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

1004 Issued in GA

Legal business name

NATIONAL SLEEP DIAGNOSTICS

Practice address

1600 Atkinson Rd
Lawrenceville, GA 30043-5602

Phone

(678) 736-6604

NPI assigned

Dec 7, 2009

Last updated

Dec 7, 2009By 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

Mr. Lewis Shawn Short, RPSGT.

Title

Owner

Phone

(678) 736-6604

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1902134786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ATKINSON RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435602",
            "telephone_number": "678-736-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ATKINSON RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435602",
            "telephone_number": "678-736-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL SLEEP DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-736-6604",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPSGT."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "GA",
            "license": "1004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Lawrenceville, GA by specialty
• Sleep Disorder Diagnostic Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.