MEDICARE: IMA SLEEP INSTITUTE, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689619926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMA SLEEP INSTITUTE, LLC

Provider Business Mailing Address
First Line	:	7900 W JEFFERSON BLVD
Second Line	:	SUITE 201
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-4128
Country	:	US
Telephone Number	:	260-969-7100
Fax Number	:	260-969-7101

Provider Business Practice Location Address
First Line	:	1625 MAGNAVOX WAY
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-1535
Country	:	US
Telephone Number	:	866-363-7535
Fax Number	:	866-363-7534

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LOWELL TESKA
Credential	:
Telephone Number	:	260-969-7100

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	01/05/2010

Similar Medicare Providers

1003813692 — CARDIOSOM OF FT. WAYNE, INC
Practice Location Address:

1625 MAGNAVOX WAY
FT WAYNE, IN
46804-1535

Practice Phone: 888-857-5337
Practice Fax: 260-459-9247

1073510178 — CARDIOSOM LLC DBA MD SLEEP OF FT. WAYNE
Practice Location Address:

1625 MAGNAVOX WAY
FT WAYNE, IN
46804-1535

Practice Phone: 260-459-9248
Practice Fax: 260-459-9247

1326058389 — CARDIOSOM, LLC
Practice Location Address:

1625 MAGNAVOX WAY
FORT WAYNE, IN
46804-1535

Practice Phone: 260-436-2261
Practice Fax: 260-436-0092

1679870646 — STEPHEN MICHAEL O'SHAUGHNESSY
Practice Location Address:

3407 ROLSTON ST
FORT WAYNE, IN
46805-1535

Practice Phone: 260-609-3360
Practice Fax:

1215479886 — SHANA HENSLEY LILLEY DPT
Practice Location Address:

11050 MOUNT BELVEDERE BLVD , RM 1535
FORT DRUM, NY
13602-5438

Practice Phone: 828-284-5023
Practice Fax:

1831729649 — BERNARD N DEAN JR.
Practice Location Address:

4890 FORT AVE
LYNCHBURG, VA
24502-1535

Practice Phone: 434-237-6295
Practice Fax:

Directions to “IMA SLEEP INSTITUTE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.