Organization Active NPI

Alpha Wave Neuro LLC

  • Physiological Laboratory
  • Dearborn Heights, MI
National Provider Identifier
1174420442
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
ALPHA WAVE NEURO LLC
Practice address
7001 Mayburn St
Dearborn Heights, MI 48127-2267
Phone
(313) 213-6315
NPI assigned
Oct 21, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Hind Hamzah, REEGT
Title
Owner
Phone
(313) 213-6315

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

7001 Mayburn St
Dearborn Heights, MI 48127-2267

Mailing address

7001 Mayburn St
Dearborn Heights, MI 48127-2267
Phone (313) 213-6315

NPI Registry JSON

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1174420442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 MAYBURN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272267",
            "telephone_number": "313-213-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 MAYBURN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272267",
            "telephone_number": "313-213-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA WAVE NEURO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "HAMZAH",
        "authorized_official_first_name": "HIND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-213-6315",
        "authorized_official_credential": "REEGT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.