Active NPI
Lion Sleep Labs Inc
- Sleep Disorder Diagnostic Clinic/Center
- Glen Carbon, IL
National Provider Identifier
1932283355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421849284003 | Other | TRICARE | |
| 470000719 | Other | MO | MEDICARE RAILROAD |
| 124960 | Other | BCBS OF MO | |
| 421849284002 | Other | TRICARE | |
| 40878 | Other | HEALTHCARE USA | |
| 432677 | Other | HEALTHLINK | |
| 38314 | Other | GHP | |
| 0006032060 | Other | BCBS OF IL |
National Provider Directory
National Provider DirectoryLocations
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.