SOUTHERN OREGON SLEEP DIAGNOSTICS (NPI# 1629321435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629321435 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OREGON SLEEP DIAGNOSTICS |
| Other Organization Name | MOUNTAIN SLEEP LAB |
| Practice Address |
460 Murphy Rd Medford OR 97504-8144 |
| Practice Telephone | 5417731435 |
| Practice Fax Number | 5418586828 |
| Mailing Telephone | 5417731435 |
| Mailing Fax Number | 5418586828 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | CORY SULLINS (CFO) |
| Authorized Official Telephone | 5417731435 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mountain Sleep Lab | Doing Business As Name - Organization |
| Street Address |
460 MURPHY RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952689531 | Southern Oregon Sleep Diagnostics LLC | Clinical Medical Laboratory | 460 Murphy Rd, Medford, OR 97504-8144 | 2011-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952739567 | Sleep Health Diagnostics, LLC | Clinic/Center | 200 Boston Ave, Medford, MA 02155-4243 | 2013-10-16 |
| 1790066264 | Sleep for Health-medford LLC | Clinic/Center | 103 Old Marlton Pike, Suite 124, Medford, NJ 08055-8772 | 2011-08-29 |
| 1083914923 | Complete Sleep Solutions, Inc. | Clinic/Center | 749 Golf View Dr, Medford, OR 97504-9654 | 2010-10-26 |
| 1811225675 | Sleep Health Centers LLC | Clinic/Center | 200 Boston Ave, Suite 3000, Medford, MA 02155-4243 | 2009-12-05 |
| 1275768483 | Arete Nw, LLC | Clinic/Center | 1150 Crater Lake Ave, Medford, OR 97504-6213 | 2009-05-18 |
| 1275572125 | Advanced Sleep Disorders Center | Clinic/Center | 700 E Main St, Suite 111, Medford, OR 97504-7138 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1578941795 | Douglas Medical Equipment Supply | Clinic/Center | 150 N 7th St, Reedsport, OR 97467-1503 | 2015-05-07 |
| 1205255882 | Sleep Health Now, LLC | Clinic/Center | 14780 Sw Osprey Dr Ste 240a, Beaverton, OR 97007-8424 | 2014-04-10 |
| 1578906582 | Somnorem Diagnostics LLC | Clinic/Center | 8130 Sw Beaverton Hillsdale Hwy, Portland, OR 97225-1845 | 2013-04-09 |
| 1083991772 | Pacific Sleep & Respiratory Diagnostics, LLC | Clinic/Center | 21 N Adams St, Coquille, OR 97423-1858 | 2011-11-08 |
| 1740585876 | Northwest Sleep Services, LLC | Clinic/Center | 5060 Sw Philomath Blvd # 166, Corvallis, OR 97333-1044 | 2011-01-20 |
| 1437466612 | Mark T. Gabr, M.d., P.C. | Clinic/Center | 180 Ramsgate Sq. Se, Salem, OR 97302-5867 | 2010-09-09 |
| 1881912889 | Pacific Sleep & Respiratory Diagnostics LLC | Clinic/Center | 1950 Waite St, North Bend, OR 97459-1228 | 2010-05-14 |
| 1174841183 | Pacific Sleep & Respiratory Diagnostics LLC | Clinic/Center | 780 2nd St Se Ste 3, Bandon, OR 97411-8354 | 2010-05-14 |
| 1043535685 | Sleep Metric Systems, Inc. | Clinic/Center | 1810 Se 10th Ave Ste B, Portland, OR 97214-3549 | 2010-04-06 |
| Find all providers with the same taxonomy | ||||
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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.