Active NPI
Sleep Labs of the South LLC
- Physiological Laboratory
- Cleveland, TN
National Provider Identifier
1912936139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- SLEEP LABS OF THE SOUTH LLC
- Practice address
- 1600 Clingan Ridge Dr NW
Cleveland, TN 37312-3652 - Phone
- (423) 716-7696
- NPI assigned
- Jul 1, 2006
- Last updated
- May 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Della Margaret Lowe
- Title
- President-Manager
- Phone
- (423) 716-7696
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | NU | Primary |
Addresses
Primary practice location
1600 Clingan Ridge Dr NW
Cleveland, TN 37312-3652
Mailing address
PO Box 4318
Cleveland, TN 37320-4318
Phone (423) 716-7696
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4204887 | Other | TN | BCBS |
| 1505658 | Medicaid | TN | |
| 4135998 | Other | TN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080311000694 | TN | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5092890228 | Practice locations: Cleveland, TN |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pulmonary Disease Physician
- Cleveland, TN
- NPI 1043266752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273622400000",
"number": "1912936139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4318",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373204318",
"telephone_number": "423-716-7696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CLINGAN RIDGE DR NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123652",
"telephone_number": "423-716-7696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP LABS OF THE SOUTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2010-05-12",
"status": "A",
"authorized_official_last_name": "LOWE",
"authorized_official_first_name": "DELLA",
"authorized_official_middle_name": "MARGARET",
"authorized_official_title_or_position": "PRESIDENT-MANAGER",
"authorized_official_telephone_number": "423-716-7696"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4204887",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1505658",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4135998",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.