Physicians Choice Diagnostic Sleep Center, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

PHYSICIANS CHOICE DIAGNOSTIC SLEEP CENTER, LLC

Practice address

617 8TH Avenue SE
Suite B
Cedar Rapids, IA 52401-2117

Phone

(319) 365-0444

Fax

(319) 365-1089

NPI assigned

Dec 1, 2006

Last updated

Jan 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry John Reutzel

Title

Owner

Phone

(319) 365-0444

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1962570358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 8TH AVENUE SE",
            "address_2": "SUITE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524012117",
            "telephone_number": "319-365-0444",
            "fax_number": "319-365-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 8TH AVENUE SE",
            "address_2": "SUITE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524012117",
            "telephone_number": "319-365-0444",
            "fax_number": "319-365-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CHOICE DIAGNOSTIC SLEEP CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "REUTZEL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-365-0444"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Pflughaupt, DPT
• Elizabeth Pfohl
• Khanh Phan, PHARMD
• Ryan Phelan, PHARMD
• Physical Medicine & Rehabilitation Associates of Northeast Iowa, Inc
• Physicians Clinic of Iowa, PC (Iowa Blood and Cancer Care of PCI Medication Dispensing Service)
• Physicians' Clinic of Iowa
• Physicians' Clinic of Iowa, PC
• Physicians' Clinic of Iowa, PC
• Physicians' Clinic of Iowa, PC

• Sleep Disorder Diagnostic Clinic/Center in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Sleep Disorder Diagnostic Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.