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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 Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for SOUTHERN MISSOURI SLEEP CENTER, LLC

NPI # 1124115894
LBN Legal business name SOUTHERN MISSOURI SLEEP CENTER, LLC
Authorized official LYNDA NEWMAN - (DIRECTOR OF PATIENT CARE)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2006
Last updated 03/12/2024 - About 2 years ago
Identifiers
MO Medicaid 716394501
MO Other 201634 BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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