National Provider Identifier Database

SOUTHERN MISSOURI SLEEP CENTER LLC
Physiological Laboratory, (Independent Physiological Lab)

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.


Contact Information

SOUTHERN MISSOURI SLEEP CENTER, LLC
2210 BARRON RD STE 117
POPLAR BLUFF, MO63901-1922
Phone: 573-727-9661
Fax: 573-727-9665
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for SOUTHERN MISSOURI SLEEP CENTER, LLC

NPI Number 1124115894
Legal business name
LBN
SOUTHERN MISSOURI SLEEP CENTER, LLC
Authorized official LYNDA NEWMAN - (DIRECTOR OF PATIENT CARE)
Entity Organization
Organization subpart No
Enumeration date 10/06/2006
Last updated 03/12/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 716394501
  • MO Other: 201634 BLUE CROSS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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