MEDICARE: SLEEP DISORDERS CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1538112420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP DISORDERS CENTER

Provider Business Mailing Address
First Line	:	7000 PARKWOOD BLVD STE A300
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-7443
Country	:	US
Telephone Number	:	972-346-1813
Fax Number	:	972-346-1813

Provider Business Practice Location Address
First Line	:	5745 S FORT APACHE RD STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5623
Country	:	US
Telephone Number	:	702-489-8600
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CAROLINA OGANYAN
Credential	:
Telephone Number	:	972-346-1813

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	05/11/2020

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