Organization Active NPI

Memphis Sleep Lab, Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Cordova, TN
National Provider Identifier
1700840220
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
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

Updated by the provider on Sep 17, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3111550OtherBCBS TN

Other names 1

  • Sleep Labs of Memphis Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.