SOUTHERN SLEEP CLINICS, LLC (NPI# 1740238591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740238591 |
| Entity Type | Organization |
| Organization Name | SOUTHERN SLEEP CLINICS, LLC |
| Practice Address |
2346 W Main St Ste. 2 Dothan AL 36301-1224 |
| Practice Telephone | 3346732501 |
| Practice Fax Number | 3346732502 |
| Mailing Telephone | 3346732501 |
| Mailing Fax Number | 3346732502 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-02-06 |
| Authorized Official Name | MICHAEL J LABANOWSKI (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3346732501 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
12156 | AL | Ambulatory Health Care Facilities |
| Y | 293D00000X | Physiological Laboratory | 11900 | AL | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS AL | 51521455 | 01 |
| Street Address |
2346 W MAIN ST STE. 2 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225086366 | Michael John Labanowski | Psychiatry & Neurology | 2346 W Main St, Ste. 2, Dothan, AL 36301-1224 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| 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. |
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| 1922563147 | Alpha Vascular Screenings LLC | Physiological Laboratory | 190 Highland Blvd, Riverside, AL 35135-1050 | 2019-02-01 |
| 1679099253 | Vuepoint Diagnostics, LLC | Physiological Laboratory | 4268 Cahaba Heights Ct Ste 102, Vestavia, AL 35243-5711 | 2017-08-16 |
| 1588190441 | St Vincents Ambulatory Healthcare Network LLC | Physiological Laboratory | 7191 Cahaba Valley Rd Ste 104, Birmingham, AL 35242-6443 | 2017-05-11 |
| 1467623264 | Rural Imaging Southeast LLC | Physiological Laboratory | 781 4th Ave Ste A, York, AL 36925-2103 | 2008-03-19 |
| 1194934885 | Health Care Investment Group Inc | Physiological Laboratory | 218 W Alabama St, Florence, AL 35630-5516 | 2007-05-21 |
| 1316063100 | Breathtrac Inc | Physiological Laboratory | 131 Mccalla Rd, Bessemer, AL 35022-5329 | 2007-03-22 |
| 1295877215 | Premier Medical Development LLC | Physiological Laboratory | 405 E Barbour St Ste 4, Eufaula, AL 36027-1604 | 2007-02-13 |
| 1851476261 | Childersburg Diagnostic Imaging, LLC | Physiological Laboratory | 30411 Hwy 280, Childersburg, AL 35178 | 2006-10-25 |
| 1053414847 | Digital Diagnostic Imaging Inc | Physiological Laboratory | 416 W Dr Hicks Blvd, Florence, AL 35630-6101 | 2006-09-07 |
| 1922017516 | Instant Diagnostic Systems, Inc. | Physiological Laboratory | 1740 4th Ave Se, Suite A, Decatur, AL 35601-5900 | 2006-08-05 |
| 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.