Organization Active NPI

Michigan Sleep Lab

  • Sleep Disorder Diagnostic Clinic/Center
  • Dearborn, MI
National Provider Identifier
1174848188
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
MICHIGAN SLEEP LAB
Practice address
13530 Michigan Ave
Suite 130
Dearborn, MI 48126-3574
Phone
(313) 945-6966
Fax
(313) 945-9184
NPI assigned
Apr 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Dr. Fatina Masri, MDNPI 1013180322
Title
Owner
Phone
(313) 945-6966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

13530 Michigan Ave
Suite 130
Dearborn, MI 48126-3574

Mailing address

13530 Michigan Ave
Suite 130
Dearborn, MI 48126-3574
Phone (313) 945-6966

National Provider Directory

National Provider Directory

Locations

13530 Michigan Ave
Ste 130
Dearborn, MI 48126
Phone (313) 945-6966

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1174848188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE",
            "address_2": "SUITE 130",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263574",
            "telephone_number": "313-945-6966",
            "fax_number": "313-945-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE",
            "address_2": "SUITE 130",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263574",
            "telephone_number": "313-945-6966",
            "fax_number": "313-945-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SLEEP LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "MASRI",
        "authorized_official_first_name": "FATINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-945-6966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.