SLEEP KWEST, LLC (NPI# 1235194002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235194002 |
Entity Type | Organization |
Organization Name | SLEEP KWEST, LLC |
Practice Address |
101b Progress Pkwy Sullivan MO 63080-2359 |
Practice Telephone | 5738604004 |
Practice Fax Number | 5738604003 |
Mailing Telephone | 5738604004 |
Mailing Fax Number | 5738604003 |
Enumeration Date | 2006-04-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | SHIRON MATLOCK (PRESIDENT) |
Authorized Official Telephone | 5738604004 |
Authorized Official Credential | RPSGT/RMLT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 293D00000X | Physiological Laboratory | MO | Laboratories |
Street Address |
101B PROGRESS PKWY |
City | SULLIVAN |
State | MO |
Zip Code | 63080-2359 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
1033261649 | Clyde William Sellers II | Chiropractor | 405 Walmart Dr., Sullivan, MO 63080 | 2007-01-17 |
1407954209 | Sara Skidmore | Occupational Therapist | 2022 Phoenix Drive, Sullivan, MO 63080 | 2006-09-20 |
1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
Find all providers in zip 63080 |
Taxonomy Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760855043 | Midwest Mobile Imaging | Physiological Laboratory | 408 Washington Ave Ste 130, West Plains, MO 65775-3404 | 2015-11-09 |
1750757415 | Mobilis Health, LLC | Physiological Laboratory | 4240 Duncan Ave, Second Floor, Saint Louis, MO 63110-1123 | 2015-08-18 |
1184026098 | Braincare, LLC | Physiological Laboratory | 303 N Stadium Blvd, Ste 249, Columbia, MO 65203-1493 | 2014-09-23 |
1043539190 | Home Oximetry and Sleep Testing of Missouri | Physiological Laboratory | 1720 Kansas Ave, Kansas City, MO 64127-2628 | 2010-05-27 |
1730134784 | Nitelife LLC | Physiological Laboratory | 100 Sarah Ann Blvd, Troy, MO 63379-2038 | 2006-05-24 |
1437108842 | Biotech X-ray Inc | Physiological Laboratory | 1065 Executive Parkway Dr Ste 220, Saint Louis, MO 63141-6367 | 2006-05-10 |
1710971080 | Specialized Imaging Services, Inc. | Physiological Laboratory | 9785 Mackenzie Rd, Suite 101, Saint Louis, MO 63123-5438 | 2005-09-01 |
1063415073 | King's Medical Imaging Creve Coeur, LLC | Physiological Laboratory | 11756 Olive Street Rd, Creve Coeur, MO 63141 | 2005-05-23 |
1215397153 | Missouri Diagnostic Services, LLC | Physiological Laboratory | 1517 Copper Rd, Holts Summit, MO 65043-2033 | 2016-03-04 |
1417325143 | Biomedical Imaging LLC | Physiological Laboratory | 3450 Bridgeland Dr, Suite F, Bridgeton, MO 63044-2605 | 2015-09-11 |
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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.