Organization Active NPI

Lion Sleep Labs Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Glen Carbon, IL
National Provider Identifier
1932283355
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
LION SLEEP LABS INC
Practice address
1 Ginger Creek Pkwy
Glen Carbon, IL 62034-3537
Phone
(618) 692-4945
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Mr. Byron K Martin
Title
Co Owner
Phone
(618) 692-4945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

1 Ginger Creek Pkwy
Glen Carbon, IL 62034-3537

Mailing address

1 Ginger Creek Pkwy
Glen Carbon, IL 62034-3537
Phone (618) 692-4945

Other identifiers 8

IdentifierTypeStateIssuer
421849284003OtherTRICARE
470000719OtherMOMEDICARE RAILROAD
124960OtherBCBS OF MO
421849284002OtherTRICARE
40878OtherHEALTHCARE USA
432677OtherHEALTHLINK
38314OtherGHP
0006032060OtherBCBS OF IL

National Provider Directory

National Provider Directory

Locations

620 E 3rd St
Ste 300
Alton, IL 62002
Phone (618) 468-5466

1 Ginger Creek Pkwy
Glen Carbon, IL 62034
Phone (618) 692-4945

543 W Miller St
Ste 100
Springfield, IL 62702
Phone (217) 522-6170

12 Emerald Ter
Ste D
Swansea, IL 62226
Phone (618) 234-4852

4372 Casa Brazilia Dr
Ste 301
Saint Louis, MO 63129
Phone (314) 845-6803

4750 Mexico Rd
Ste 203
Saint Peters, MO 63376
Phone (636) 936-2068

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1932283355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GINGER CREEK PKWY",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343537",
            "telephone_number": "618-692-4945",
            "fax_number": "618-692-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GINGER CREEK PKWY",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343537",
            "telephone_number": "618-692-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LION SLEEP LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "618-692-4945",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "421849284003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "470000719",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MO",
            "identifier": "124960",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "421849284002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "40878",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "432677",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "38314",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "0006032060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.