ISLAND SLEEP LAB LLC NPI 1609964964

NPI Information

NPI: 1609964964
Provider Name: ISLAND SLEEP LAB LLC
Classification: Clinic/Center - 261QS1200X
Specialization: Sleep Disorder Diagnostic
Entity Type: Organization
Address: 58 SHELTER COVE LANE
SUITE E1
HILTON HEAD ISLAND, SC
ZIP 29928
Phone: (843) 842-9919

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NPI Details

ISLAND SLEEP LAB LLC is a sleep disorder diagnostic clinic center in Hilton Head Island, SC. ISLAND SLEEP LAB LLC NPI is 1609964964. The provider is registered as an organization entity type.

The provider's business location address is:

58 SHELTER COVE LANE
SUITE E1
HILTON HEAD ISLAND, SC
ZIP 29928
Phone: (843) 842-9919
Fax: (843) 842-9963

The provider's authorized official is Susan Fennell .
The authorized official title is Managing Partner and has the following contact phone number (843) 842-9919.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PL0083	MEDICAID	SOUTH CAROLINA

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: 3/30/2025

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