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FORT SMITH SLEEP LAB LLC NPI 1124277322


NPI Information

NPI: 1124277322
Provider Name: FORT SMITH SLEEP LAB, LLC

Doing Business As: DISEASE PREVENTION SERVICES

Classification: Internal Medicine - 207RS0012X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
4200 JENNY LIND RD STE C
FORT SMITH, AR
ZIP 72901
Phone: (479) 646-2229
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FORT SMITH SLEEP LAB, LLC is a sleep medicine internal medicine in Fort Smith, AR. The provider is an Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. FORT SMITH SLEEP LAB, LLC NPI is 1124277322. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Disease Prevention Services.

The provider's business location address is:

4200 JENNY LIND RD STE C
FORT SMITH, AR
ZIP 72901-632
Phone: (479) 646-2229
Fax: (479) 646-1984

The provider's authorized official is Dario M Espina .
The authorized official title is Director and has the following contact phone number (479) 646-2229.

The enumeration date for this NPI number is 9/11/2008 and was last updated on 8/8/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RS0012XInternal MedicineSleep MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1181284002MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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