Active NPI
Sleep Diagnostic Center of Michigan
- Legal Medicine
- Wayne, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 4301031560
- Legal business name
- SLEEP DIAGNOSTIC CENTER OF MICHIGAN
- Practice address
- 3999 Venoy Rd
Wayne, MI 48184-1485 - Phone
- (734) 727-0182
- Fax
- (734) 727-0441
- NPI assigned
- May 19, 2010
- Organization subpart
- Yes
- Parent organization
- LIVONIA DIAGNOSTIC CENTER,P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose L Evangelista, MD
- Title
- MD
- Phone
- (734) 427-9440
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 4301031560 | MI | Primary |
Addresses
Primary practice location
3999 Venoy Rd
Wayne, MI 48184-1485
Mailing address
3999 Venoy Rd
Wayne, MI 48184-1485
Phone (734) 727-0182
National Provider Directory
National Provider Directory- Part of
- Livonia Diagnostic Cent
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Legal Medicine
- Livonia, MI
- NPI 1134336159
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Livonia, MI
- NPI 1316057391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274227200000",
"number": "1780903526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3999 VENOY RD",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841485",
"telephone_number": "734-727-0182",
"fax_number": "734-727-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3999 VENOY RD",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841485",
"telephone_number": "734-727-0182",
"fax_number": "734-727-0441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP DIAGNOSTIC CENTER OF MICHIGAN",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIVONIA DIAGNOSTIC CENTER,P.C.",
"enumeration_date": "2010-05-19",
"last_updated": "2010-05-19",
"status": "A",
"authorized_official_last_name": "EVANGELISTA",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "734-427-9440",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "MI",
"license": "4301031560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.