Provider Demographics
NPI:1538583612
Name:RELIANCE SLEEP AND DIAGNOSTIC CENTERS PC
Entity type:Organization
Organization Name:RELIANCE SLEEP AND DIAGNOSTIC CENTERS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ADEFOLAJU
Authorized Official - Middle Name:
Authorized Official - Last Name:OKETOKUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-636-5136
Mailing Address - Street 1:1818 NEW YORK AVE NE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1848
Mailing Address - Country:US
Mailing Address - Phone:202-636-5136
Mailing Address - Fax:202-636-5137
Practice Address - Street 1:1818 NEW YORK AVE NE
Practice Address - Street 2:SUITE 110
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1848
Practice Address - Country:US
Practice Address - Phone:202-636-5136
Practice Address - Fax:202-636-5137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-11
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD038372261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic