WHITE MOUNTAIN SLEEP LAB., INC


Address: 567 East University Ave, Mesa, AZ 85203
Phone: 9283682221

WHITE MOUNTAIN SLEEP LAB., INC (NPI# 1225364805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225364805
Entity Type Organization
Organization Name WHITE MOUNTAIN SLEEP LAB., INC
Practice Address 567 East University Ave
Mesa
AZ 85203
Mailing Address 1553 Autumnwood Rd.
Lakeside
AZ 85929-6994
Practice Telephone 9283682221
Practice Fax Number 9283682223
Mailing Telephone 9283682221
Mailing Fax Number 9283682223
Enumeration Date 2009-11-02
Last Update Date 2009-11-02
Authorized Official Name DR. ROY DOYLE WILKINS (PRESIDENT)
Authorized Official Telephone 9283682221
Authorized Official Credential D.C.,D.A.B.C.N.
Is Organization Subpart Y
Parent Organization Name WHITE MOUNTAIN SLEEP LAB., INC
Parent Organization TIN

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 01-006726-T AZ Laboratories

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1114293958 White Mountain Sleep Lab., Inc Clinical Medical Laboratory 708 E Deuce of Clubs, Show Low, AZ 85901-4942 2012-03-27

Office Location

Street Address 567 EAST UNIVERSITY AVE
City MESA
State AZ
Zip Code 85203

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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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City MESA
Zip Code 85203

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Dataset Information

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.

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