Professional Sleep Lab, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PROFESSIONAL SLEEP LAB, INC.

Practice address

Route 10 Cookparkway
Oceana, WV 24870

Phone

(304) 682-8228

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Tyan Lester, RRT

Title

Owner

Phone

(304) 682-8228

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1952508178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1145",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247401145",
            "telephone_number": "304-682-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 10 COOKPARKWAY",
            "city": "OCEANA",
            "state": "WV",
            "postal_code": "24870",
            "telephone_number": "304-682-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SLEEP LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "TYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-682-8228",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Kristine Mullins
• Michael A Muscari, DO
• Oceana Dental Center PLLC
• Lisa Perry, FNP-C
• Seth Prince, DDS
• Shelby Rakes
• Ginger Lea Reed
• Renegade Pharmacy Inc.
• Rebecca Ann Repass
• Stephanie Michelle Riddle

• Clinical Medical Laboratory in Oceana, WV
• Providers in Oceana, WV by specialty
• Clinical Medical Laboratory in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.