{"npi":"1275622771","type":"NPI-2","status":"active","name":{"display":"Sleep Center Of Northwest Indiana, LLC","other":[],"organization_name":"SLEEP CENTER OF NORTHWEST INDIANA, LLC","authorised_official":"Robert Newell"},"specialty":{"primary_taxonomy":"261QS1200X","primary_taxonomy_description":"Sleep Disorder Diagnostic Clinic/Center","slug":"sleep-disorder-diagnostic-clinic-center","schema_org_specialty":null,"all":[{"code":"261QS1200X","description":"Sleep Disorder Diagnostic Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"9150 E 109TH AVE STE 1A","city":"CROWN POINT","state":"IN","postal_code":"463077686","country_code":"US","phone":"2197568000","fax":"2197563699"},{"purpose":"MAILING","street_1":"9150 E 109TH AVE STE 1A","city":"CROWN POINT","state":"IN","postal_code":"463077686","country_code":"US","phone":"2197568000","fax":"2197563699"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"200800440A","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20051118000473","type_code":"12-47","type_desc":"PART B SUPPLIER - INDEPENDENT DIAGNOSTIC TESTING FACILITY (IDTF)","state":"IN","pac_id":"5294754271"}]},"enumeration_date":"2006-10-12","last_updated":"2025-04-24","_meta":{"source":"NPPES","snapshot_date":"2025-04-24","doc_url":"https://findmynpi.com/api"}}