NPIMap

Organization Active NPI

Night Owl Diagnostics, LLC

  • Sleep Specialist (PhD)
  • Farmington Hills, MI
National Provider Identifier
1073818498
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Specialist (PhD)Taxonomy code 173F00000X
License
AE080821 Issued in MI
Legal business name
NIGHT OWL DIAGNOSTICS, LLC
Practice address
30095 Northwestern Hwy
Suite 20a
Farmington Hills, MI 48334-3284
Phone
(248) 579-5752
Fax
(248) 479-8055
NPI assigned
Jan 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Mrs. Mariann Sarafa
Title
Operating Manager
Phone
(248) 579-5752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Specialist (PhD)Group: 193400000X SINGLE SPECIALTY GROUP 173F00000X AE080821 MI Primary

Addresses

Primary practice location

30095 Northwestern Hwy
Suite 20a
Farmington Hills, MI 48334-3284

Mailing address

30095 Northwestern Hwy
Suite 20a
Farmington Hills, MI 48334-3284
Phone (248) 579-5752

Other identifiers 1

IdentifierTypeStateIssuer
10600244MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1073818498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30095 NORTHWESTERN HWY",
            "address_2": "SUITE 20A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343284",
            "telephone_number": "248-579-5752",
            "fax_number": "248-479-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30095 NORTHWESTERN HWY",
            "address_2": "SUITE 20A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343284",
            "telephone_number": "248-579-5752",
            "fax_number": "248-479-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHT OWL DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-15",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "SARAFA",
        "authorized_official_first_name": "MARIANN",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "248-579-5752",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": "MI",
            "license": "AE080821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10600244",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.