MEDICARE: QUALITY SLEEP SPECIALISTS, 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

General Provider Information

NPI Number	:	1285974220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY SLEEP SPECIALISTS, LLC

Provider Business Mailing Address
First Line	:	7715 E 111TH ST STE 103
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-2572
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	609 S KELLY AVE
Second Line	:	STE B-1
City	:	EDMOND
State	:	OK
Zip	:	73003-5659
Country	:	US
Telephone Number	:	405-513-7054
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WILLIAM WEBB JR.
Credential	:
Telephone Number	:	405-532-3050

Provider Enumeration Date	:	02/28/2013
Last Update Date	:	02/28/2013

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