Midsouth Sleep Diagnostic Center Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

MIDSOUTH SLEEP DIAGNOSTIC CENTER INC

Practice address

1669 Kirby Parkway
Suite 110
Memphis, TN 38120-4397

Phone

(901) 755-8891

Fax

(901) 755-8820

NPI assigned

Oct 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Shawn Aujla

Title

President

Phone

(615) 974-2944

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• American Sleep Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ibrahim A Sultan-Ali, MD

  • Pulmonary Disease Physician
  • Memphis, TN
  • NPI 1235234808
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1659461978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 KIRBY PKWY STE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204397",
            "telephone_number": "901-316-9888",
            "fax_number": "901-755-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 KIRBY PARKWAY",
            "address_2": "SUITE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204397",
            "telephone_number": "901-755-8891",
            "fax_number": "901-755-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH SLEEP DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-15",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "AUJLA",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-974-2944",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06300211",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3791251",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Sleep Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Sleep Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sleep Disorder Diagnostic Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Sleep Disorder Diagnostic Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.