The Sleep Center, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

01041335A Issued in IN

Legal business name

THE SLEEP CENTER, LLC

Practice address

10176 W. 400 North
Suite B
Michigan City, IN 46360-9009

Phone

(219) 878-5864

Fax

(219) 878-0632

NPI assigned

Feb 4, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Siraj K Ahmed, M.D.

Title

President

Phone

(219) 879-1938

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1295067049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10176 W. 400 NORTH",
            "address_2": "SUITE A",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609009",
            "telephone_number": "219-879-1938",
            "fax_number": "219-879-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10176 W. 400 NORTH",
            "address_2": "SUITE B",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609009",
            "telephone_number": "219-878-5864",
            "fax_number": "219-878-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SLEEP CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SIRAJ",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-879-1938",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": "01041335A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.