Palmetto Sleep Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PALMETTO SLEEP LAB LLC

Practice address

2724 W Palmetto St Ste 12
Florence, SC 29501-4909

Phone

(843) 407-6700

Fax

(843) 407-7999

NPI assigned

May 28, 2019

Last updated

May 28, 2019By 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

Jerry Milton Capell

Title

Owner

Phone

(843) 444-0880

Specialties & licenses 1

Addresses

Locations

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.

• Jeff A Benjamin, DO

  • Neurology Physician
  • Myrtle Beach, SC
  • NPI 1821057779
  NPD (past)

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1912564790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1226",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295781226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 W PALMETTO ST STE 12",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014909",
            "telephone_number": "843-407-6700",
            "fax_number": "843-407-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SLEEP LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "CAPELL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-444-0880"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmetto Physical Therapy and Wellness Center
• Palmetto Prosthetics and Orthotics, Inc.
• Palmetto Radiation Oncology PA
• Palmetto Respiratory & Rehab Inc
• Palmetto Service Company LLC (Palmetto Geriatrics)
• Palmetto Smiles of Florence PA
• Palmetto State Staffing Group, LLC
• Palmetto State Surgical Podiatry Associates
• Palmetto Therapy Group, LLC
• Palmetto Vision Center

• Clinical Medical Laboratory in Florence, SC
• Providers in Florence, SC by specialty
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.