Healthcare Provider Details

I. General information

NPI: 1316226897
Provider Name (Legal Business Name): MILLENNIUM SLEEP LAB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2011
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10820 SUNSET OFFICE DR SUITE 130
SAINT LOUIS MO
63127-1016
US

IV. Provider business mailing address

10820 SUNSET OFFICE DR SUITE 130
SAINT LOUIS MO
63127-1016
US

V. Phone/Fax

Practice location:
  • Phone: 314-942-3700
  • Fax: 888-834-8786
Mailing address:
  • Phone: 314-942-3700
  • Fax: 844-242-9966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFF SCHOLTES
Title or Position: CEO
Credential:
Phone: 314-942-3700