Michigan Sleep Diagnostic Center, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

MICHIGAN SLEEP DIAGNOSTIC CENTER, LLC

Practice address

2000 Spring Arbor Rd
Suite B
Jackson, MI 49203-2887

Phone

(517) 962-5220

Fax

(517) 962-5221

NPI assigned

Apr 14, 2009

Organization subpart

No

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

Authorized official

Name

Rangaswami Prakash

Title

President

Phone

(517) 917-7835

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randoplh Penn, D.C.

  • Chiropractor
  • Jackson, MI
  • NPI 1780626689
  NPD (past)

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1053554469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SPRING ARBOR RD",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032887",
            "telephone_number": "517-962-5220",
            "fax_number": "517-962-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SPRING ARBOR RD",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032887",
            "telephone_number": "517-962-5220",
            "fax_number": "517-962-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SLEEP DIAGNOSTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "PRAKASH",
        "authorized_official_first_name": "RANGASWAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-917-7835"
    },
    "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": "1053554469",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0C80005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Continuum Care PLLC
• Michigan Dentists PLLC
• Michigan Family Chiropractic-Jackson
• Michigan Family Practice, LLC
• Michigan Institute of Neurological Diseases, PLLC
• Michigan Visiting Care
• Michigan-Online Therapy PLLC
• Mid Michigan Eye Care Center, PC
• Mid-Michigan Gastroenterology Consultants PC
• Jamie Middlebrook

• Sleep Disorder Diagnostic Clinic/Center in Jackson, MI
• Providers in Jackson, 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 Jan 11, 2010; 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.