Organization Active NPI

Sleep Diagnostic Center LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Milwaukee, WI
National Provider Identifier
1164600490
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
SLEEP DIAGNOSTIC CENTER LLC
Practice address
5310 W Capitol Dr
Suite 215
Milwaukee, WI 53216-2263
Phone
(414) 445-0400
Fax
(414) 445-0402
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Mr. Mohammad Ali
Title
Member LLC
Phone
(414) 445-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

5310 W Capitol Dr
Suite 215
Milwaukee, WI 53216-2263

Mailing address

5310 W Capitol Dr
Suite 215
Milwaukee, WI 53216-2263

Other identifiers 1

IdentifierTypeStateIssuer
21317400MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1164600490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 W CAPITOL DR",
            "address_2": "SUITE 215",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 W CAPITOL DR",
            "address_2": "SUITE 215",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162263",
            "telephone_number": "414-445-0400",
            "fax_number": "414-445-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DIAGNOSTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "MEMBER LLC",
        "authorized_official_telephone_number": "414-445-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21317400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.