Vital Sleep Center, PLLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

VITAL SLEEP CENTER, PLLC

Practice address

29201 Telegraph Rd Ste 240
Southfield, MI 48034-1331

Phone

(248) 304-7774

Fax

(248) 918-2025

NPI assigned

Dec 23, 2014

Organization subpart

Yes

Parent organization

PHOENIX MEDICAL GROUP, PCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Abbie Hill

Title

Administrator

Phone

(248) 304-7674

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Phoenix Medical Group PC4 organizations share this tax ID, including this one

Part of

Phoenix Medical Group PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Affinity Lab

  • Clinical Medical Laboratory
  • Southfield, MI
  • NPI 1255729471
  NPD tax ID
• Pavilion Imaging, LLC

  • Radiology Clinic/Center
  • Southfield, MI
  • NPI 1659769867
  NPD tax ID
• Pinnacle Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Southfield, MI
  • NPI 1568850774
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/28150/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1003204223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 450",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347604",
            "telephone_number": "248-304-7659",
            "fax_number": "248-479-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 240",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341331",
            "telephone_number": "248-304-7774",
            "fax_number": "248-918-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SLEEP CENTER, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX MEDICAL GROUP, PC",
        "enumeration_date": "2014-12-23",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ABBIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-304-7674",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306075551",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rajadurai Viswas
• Vital Community Care P C
• Vital Home Health LLC
• Vital Medical Equipment & Supplies Inc
• Vital Point Home Care Agency LLC
• Vital Vibrations LLC (Vital Performance Power Plate Studio)
• Vitality Group Inc (Vitality Health Services inc)
• Vitality Health LLC
• Vitality Home Care Inc.
• Vitas Healthcare Corporation Midwest

• Sleep Disorder Diagnostic Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Sleep Disorder Diagnostic Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.