BALLANTYNE SLEEP DIAGNOSTICS (NPI# 1720134893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720134893 |
| Entity Type | Organization |
| Organization Name | BALLANTYNE SLEEP DIAGNOSTICS |
| Practice Address |
11220 Elm Ln Suite 102 Charlotte NC 28277-0715 |
| Mailing Address |
7600 Airways Blvd Suite G Southaven MS 38671-5138 |
| Practice Telephone | 7046415414 |
| Practice Fax Number | 7045234080 |
| Mailing Telephone | 6623499802 |
| Mailing Fax Number | 6623499810 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEREK E DENMAN (CEO) |
| Authorized Official Telephone | 9013460767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
11220 ELM LN SUITE 102 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-0715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790719359 | Priveer D Sharma | Dentist | 11220 Elm Ln, Suite 100, Charlotte, NC 28277-0715 | 2006-07-10 |
| 1588105795 | Erik Allen Osborne | Physician Assistant | 11220 Elm Ln, Suite 102, Charlotte, NC 28277-0715 | 2017-03-20 |
| 1497293773 | Invision Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11220 Elm Ln, Suite 200, Charlotte, NC 28277-0715 | 2017-02-07 |
| 1902251978 | Carolina Family Healthcare, Pa | Pharmacy | 11220 Elm Ln, Suite 102, Charlotte, NC 28277-0715 | 2016-04-27 |
| 1437554367 | Sherry Smith | Marriage & Family Therapist | 11220 Elm Ln, Suite 203, Charlotte, NC 28277-0715 | 2014-11-04 |
| 1548529878 | Carolina Family Healthcare, Pa | Family Medicine | 11220 Elm Ln, Suite 120, Charlotte, NC 28277-0715 | 2012-05-07 |
| 1124264072 | Carissa Lynn Kuhn | Counselor | 11220 Elm Ln, Suite 203, Charlotte, NC 28277-0715 | 2008-12-24 |
| 1598929663 | Priveer D Sharma Dds Pa | Dentist | 11220 Elm Ln, Suite 100, Charlotte, NC 28277-0715 | 2008-07-17 |
| 1629262209 | Jennifer Cloos Bean | Dietitian, Registered | 11220 Elm Ln, Suite 102, Charlotte, NC 28277-0715 | 2007-08-28 |
| 1306959705 | Dino Peter Kanelos | Family Medicine | 11220 Elm Ln, Suite 102, Charlotte, NC 28277-0715 | 2006-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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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|---|---|---|---|---|
| 1295341006 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 125 Queens Rd Ste 370, Charlotte, NC 28204-3215 | 2020-09-17 |
| 1538716113 | Karany's Veracity Company,llc | Clinical Medical Laboratory | 1816 E Arbors Dr Ste 440, Charlotte, NC 28262-2666 | 2019-08-20 |
| 1720546468 | Southeast Pathology Consultants, Inc. | Clinical Medical Laboratory | 1815 Back Creek Dr Ste 100, Charlotte, NC 28213-2159 | 2019-03-12 |
| 1679060222 | 1st Stop Labs LLC | Clinical Medical Laboratory | 4920 Albemarle Rd, Charlotte, NC 28205-6618 | 2018-04-19 |
| 1700399656 | David Farache | Clinical Medical Laboratory | 300 Billingsley Rd Ste 107, Charlotte, NC 28211-1084 | 2017-11-14 |
| 1063945582 | Bpolloni Consulting | Clinical Medical Laboratory | 11709 Fruehauf Drive, Suite 105 & 106, Charlotte, NC 28273 | 2017-04-11 |
| 1639541295 | Highline Labs, LLC | Clinical Medical Laboratory | 5900 Northwoods Business Parkway, Suite K, Charlotte, NC 28269-5747 | 2015-10-22 |
| 1134512429 | Anchore Laboratories, Inc | Clinical Medical Laboratory | 3635 Mount Holly Huntersville Rd, Charlotte, NC 28216-8628 | 2015-03-10 |
| 1326430091 | Captiva Lab | Clinical Medical Laboratory | 3300 International Airport Drive, Suite 100, Charlotte, NC 28208-5799 | 2015-03-04 |
| 1578960274 | Direct Access Lab, LLC | Clinical Medical Laboratory | 4822 Albemarle Road, Suite 110, Charlotte, NC 28205-6621 | 2014-11-24 |
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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.