Sleep Diagnostic Center
Preferred Provider Organization in Atoka, TN. Organization (NPI-2).
NPI number1407149552
StatusActive
Last updated in NPPESMay 24, 2011
Details
- NPI
- 1407149552
- Entity type
- Organization (NPI-2)
- Legal business name
- Sleep Diagnostic Center
- Organization subpart
- No
- Enumeration date
- May 24, 2011
- Last updated
- May 24, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | – | – | Yes |
Practice location
382 Atoka McLaughlin Dr Ste CAtoka, TN 38004-4923
Phone 731-635-9335
Mailing address
382 Atoka McLaughlin Dr Ste CAtoka, TN 38004-4923
Phone 731-635-9335
Authorized official
Michael Jankovsky
Owner
7316359335
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