Provider Demographics
NPI:1538159215
Name:MIDWEST SLEEP LAB LLC
Entity type:Organization
Organization Name:MIDWEST SLEEP LAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASIM
Authorized Official - Middle Name:JAFAR
Authorized Official - Last Name:CHOHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-610-7057
Mailing Address - Street 1:PO BOX 26485
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-0485
Mailing Address - Country:US
Mailing Address - Phone:405-455-5052
Mailing Address - Fax:405-455-4142
Practice Address - Street 1:8121 NATIONAL AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-7530
Practice Address - Country:US
Practice Address - Phone:405-455-5052
Practice Address - Fax:405-455-4142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic