Active NPI
Memphis Sleep Lab, Inc
- Sleep Disorder Diagnostic Clinic/Center
- Cordova, TN
National Provider Identifier
1700840220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- MEMPHIS SLEEP LAB, INC
- Doing business as
- Sleep Labs of Memphis
- Practice address
- 1176 Vickery LN
Ste 100
Cordova, TN 38016-0630 - Phone
- (901) 756-4667
- Fax
- (901) 756-4142
- NPI assigned
- Apr 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Megan Pickens, RPSGT, RST
- Title
- Lab Director
- Phone
- (901) 756-4667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
1176 Vickery LN
Ste 100
Cordova, TN 38016-0630
Mailing address
382 Carriage House Dr
Ste B
Jackson, TN 38305-2299
Phone (731) 664-8716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3111550 | Other | BCBS TN |
Other names 1
- Sleep Labs of Memphis
National Provider Directory
National Provider DirectoryLocations
1176 Vickery Ln
Ste 100
Cordova, TN 38016
Phone (901) 341-3521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379376000000",
"number": "1700840220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 CARRIAGE HOUSE DR",
"address_2": "STE B",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052299",
"telephone_number": "731-664-8716",
"fax_number": "731-664-8932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1176 VICKERY LN",
"address_2": "STE 100",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380160630",
"telephone_number": "901-756-4667",
"fax_number": "901-756-4142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMPHIS SLEEP LAB, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-13",
"last_updated": "2013-09-17",
"status": "A",
"authorized_official_last_name": "PICKENS",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "LAB DIRECTOR",
"authorized_official_telephone_number": "901-756-4667",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPSGT, RST"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN",
"identifier": "3111550",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sleep Labs of Memphis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.