Elk Kalamazoo, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

ELK KALAMAZOO, LLC

Doing business as

Kalamazoo Sleep Center

Practice address

2340 E Centre Ave
Portage, MI 49002-4465

Phone

(269) 327-7146

Fax

(269) 327-7196

NPI assigned

May 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donn A Latour, MD

Title

Ceo, Member

Phone

(269) 327-7146

Specialties & licenses 1

Addresses

Other names 1

• Kalamazoo Sleep Center Doing business as

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467673939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024465",
            "telephone_number": "269-327-7146",
            "fax_number": "269-327-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024465",
            "telephone_number": "269-327-7146",
            "fax_number": "269-327-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK KALAMAZOO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LATOUR",
        "authorized_official_first_name": "DONN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO, MEMBER",
        "authorized_official_telephone_number": "269-327-7146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalamazoo Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sleep Disorder Diagnostic Clinic/Center in Portage, MI
• Providers in Portage, MI by specialty
• Sleep Disorder Diagnostic Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.