Great Lakes Sleep Center LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GREAT LAKES SLEEP CENTER LLC

Practice address

15930 19 Mile Rd Ste 140
Clinton Township, MI 48038-1155

Phone

(734) 674-5120

Fax

(248) 748-1888

NPI assigned

Mar 25, 2009

Organization subpart

No

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

Authorized official

Name

Sachin Sharma

Title

Ceo

Phone

(734) 674-5120

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1710129507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15930 19 MILE RD STE 140",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381155",
            "telephone_number": "734-674-5120",
            "fax_number": "248-748-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15930 19 MILE RD STE 140",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381155",
            "telephone_number": "734-674-5120",
            "fax_number": "248-748-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES SLEEP CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SACHIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-674-5120"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Great Lakes Dietary Counseling, LLC
• Great Lakes Provider Network, LLC
• Great Lakes Shuttle Company, LLC
• Great Start Mihp LLC
• Greater Lakes Ambulatory Surgical Center, LLC
• Greater Lakes Anesthesia, PLLC
• Greater Michigan Gastroenterology PC
• Greatlakes Homecare Center LLC

• Clinical Medical Laboratory in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.