Organization Active NPI

Wellpointe Sleep Diagnostic Center LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Rochester Hills, MI
National Provider Identifier
1710923313
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
B8178Y Issued in MI
Legal business name
WELLPOINTE SLEEP DIAGNOSTIC CENTER LLC
Practice address
1701 South Boulevard East
Suite B 25
Rochester Hills, MI 48307
Phone
(248) 465-1848
Fax
(248) 380-8620
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Mr. Timothy B Kerr
Title
Managing Director
Phone
(248) 755-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X B8178Y MI Primary

Addresses

Primary practice location

1701 South Boulevard East
Suite B 25
Rochester Hills, MI 48307

Mailing address

18223 E 10 Mile Rd
Suite 400
Roseville, MI 48066-5821
Phone (586) 260-7301

National Provider Directory

National Provider Directory

Locations

27600 Farmington Rd
Farmington Hills, MI 48334
Phone (540) 419-7614

1701 South Blvd E
Ste B25
Rochester Hills, MI 48307
Phone (866) 693-7360

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": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1710923313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18223 E 10 MILE RD",
            "address_2": "SUITE 400",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665821",
            "telephone_number": "586-260-7301",
            "fax_number": "586-948-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BOULEVARD EAST",
            "address_2": "SUITE B 25",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48307",
            "telephone_number": "248-465-1848",
            "fax_number": "248-380-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPOINTE SLEEP DIAGNOSTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "248-755-5522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "MI",
            "license": "B8178Y",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.