Organization Active NPI

Carolina Sleep Diagnostics, Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Florence, SC
National Provider Identifier
1952340390
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
CAROLINA SLEEP DIAGNOSTICS, INC
Practice address
2724 W Palmetto St
Suite 12
Florence, SC 29501-4909
Phone
(843) 678-8998
Fax
(843) 678-8999
NPI assigned
Jun 4, 2006
Last updated
Feb 16, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINA SLEEP DIAGNOSTICS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Willie Dean Bell, LPN
Title
Manager
Phone
(843) 841-1220

Specialties & licenses 1

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

Addresses

Primary practice location

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

Mailing address

200 W Harrison St
Suite B
Dillon, SC 29536-3310
Phone (843) 841-1220

Other identifiers 1

IdentifierTypeStateIssuer
PL0077MedicaidSC

National Provider Directory

National Provider Directory
Part of
Carolina Sleep Diagnostic

Locations

2724 W Palmetto St
Ste 12
Florence, SC 29501
Phone (843) 407-6700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1952340390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W HARRISON ST",
            "address_2": "SUITE B",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363310",
            "telephone_number": "843-841-1220",
            "fax_number": "843-841-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 W PALMETTO ST",
            "address_2": "SUITE 12",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014909",
            "telephone_number": "843-678-8998",
            "fax_number": "843-678-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SLEEP DIAGNOSTICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA SLEEP DIAGNOSTICS, INC",
        "enumeration_date": "2006-06-04",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-841-1220",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PL0077",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.