SOUTH CENTRAL REGIONAL SLEEP LAB (NPI# 1225102684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225102684 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL REGIONAL SLEEP LAB |
| Practice Address |
1220 Jefferson St Laurel MS 39440-4355 |
| Mailing Address |
Po Box 6511 Laurel MS 39441-6511 |
| Practice Telephone | 6014264530 |
| Practice Fax Number | 6014264936 |
| Mailing Telephone | 6014264530 |
| Mailing Fax Number | 6014264936 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-07-28 |
| Authorized Official Name | JOHN WALLACE (DIRECTOR) |
| Authorized Official Telephone | 6014264530 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 06737 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03281730 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275545923 | South Central Regional Sleep Lab | Physiological Laboratory | 1220 Jefferson St, Laurel, MS 39440-4355 | 2006-08-12 |
| Street Address |
1220 JEFFERSON ST |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973542 | South Central Regional Medical Center | General Acute Care Hospital | 1220 Jefferson St, Laurel, MS 39440-4355 | 2005-06-24 |
| 1730799578 | Holly Marie White | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440-4355 | 2020-08-06 |
| 1407495492 | David Caldwell | Physician Assistant | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-12-23 |
| 1659918084 | Elizabeth Allen | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-12-04 |
| 1598300626 | Nicole Nielsen | Physical Therapist | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-11-13 |
| 1437793163 | Marty Jacob Brock | Physical Therapist | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-11-06 |
| 1881253557 | Sarah M Wooten | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-06-06 |
| 1730742933 | Hanna Rae Mccoy | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-04-15 |
| 1801372685 | Anna Seals | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440-4355 | 2018-07-16 |
| 1982195137 | Erica Windham | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440 | 2018-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971711 | Montpelier Family Dentistry LLC | Durable Medical Equipment & Medical Supplies | 14502 Greenview Dr Ste 100, Laurel, MD 20708-3221 | 2020-10-28 |
| 1164910584 | Awayk Health LLC | Durable Medical Equipment & Medical Supplies | 14440 Cherry Lane Ct Ste 115, Laurel, MD 20707-4946 | 2018-05-01 |
| 1285134098 | Awayk Health, LLC | Durable Medical Equipment & Medical Supplies | 14440 Cherry Lane Ct Ste 112, Laurel, MD 20707-4946 | 2018-02-19 |
| 1861904674 | Lifetime Medical Services | Durable Medical Equipment & Medical Supplies | 312 Marshall Ave Ste 1001b, Laurel, MD 20707-4824 | 2017-11-02 |
| 1467863654 | Doc's Quality Homedical Supplies & Equipment, LLC | Durable Medical Equipment & Medical Supplies | 13600 Baltimore Ave, Suite 702, Laurel, MD 20707-9468 | 2014-05-11 |
| 1457772014 | Miracle Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 111 Ellisville Blvd, Laurel, MS 39440-4519 | 2013-12-30 |
| 1477980811 | Laurel Advanced Medical Equipment | Durable Medical Equipment & Medical Supplies | 1003 Mitchell Dr, Laurel, MS 39440-2548 | 2013-09-30 |
| 1962844209 | Healthcarebahn | Durable Medical Equipment & Medical Supplies | 11106 Snowden Pond Rd, Laurel, MD 20708-3055 | 2013-07-29 |
| 1134473234 | Thomas Pharmacy Gardiner Center, LLC | Durable Medical Equipment & Medical Supplies | 733 Limbert St, Laurel, MS 39440-5246 | 2012-10-29 |
| 1013285840 | Austins Pharmacy Pllc | Durable Medical Equipment & Medical Supplies | 305 S 1st Ave, Laurel, MT 59044-3303 | 2011-12-07 |
| Find all providers in LAUREL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.