MEDICARE: OKLAHOMA 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	:	1467414144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OKLAHOMA SLEEP INSTITUTE LLC

Provider Business Mailing Address
First Line	:	13901 TECHNOLOGY DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-1052
Country	:	US
Telephone Number	:	405-606-2727
Fax Number	:	405-606-7040

Provider Business Practice Location Address
First Line	:	13901 TECHNOLOGY DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-1052
Country	:	US
Telephone Number	:	405-606-2727
Fax Number	:	405-606-7040

Authorized Official
Title or Position	:	RCM DIRECTOR
Name	:	MELISSA LYNN
Credential	:
Telephone Number	:	405-606-2727

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	11/03/2025

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