Active NPI
Michigan Neurodiagnostics, LLC
- Physiological Laboratory
- Southfield, MI
National Provider Identifier
1982149738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- MICHIGAN NEURODIAGNOSTICS, LLC
- Practice address
- 27209 Lahser Rd Ste 130
Southfield, MI 48034-8401 - Phone
- (313) 263-3275
- Fax
- (866) 279-4704
- NPI assigned
- Jan 4, 2017
- Organization subpart
- Yes
- Parent organization
- ALLIANCE FAMILY OF COMPANIES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Alvarez
- Title
- Ceo
- Phone
- (469) 995-8416
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | |||
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
27209 Lahser Rd Ste 130
Southfield, MI 48034-8401
Mailing address
600 Las Colinas Blvd E Ste 2000
Irving, TX 75039-5607
Phone (469) 995-8416
Other names 1
- Stratus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171226000518 | MI | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4587922471 | Practice locations: Southfield, MI |
National Provider Directory
National Provider DirectoryLocations
2723 S State St
Ste 101
Ann Arbor, MI 48104
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Detroit, MI
- NPI 1154531937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777420800000",
"number": "1982149738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 LAS COLINAS BLVD E STE 2000",
"city": "IRVING",
"state": "TX",
"postal_code": "750395607",
"telephone_number": "469-995-8416",
"fax_number": "866-279-4704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27209 LAHSER RD STE 130",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480348401",
"telephone_number": "313-263-3275",
"fax_number": "866-279-4704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIGAN NEURODIAGNOSTICS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALLIANCE FAMILY OF COMPANIES, LLC",
"enumeration_date": "2017-01-04",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A",
"authorized_official_last_name": "ALVAREZ",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "469-995-8416"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Stratus",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southfield, MI
- Michigan Institute of Pain and Headache, PC
- Michigan Institute of Urology PC
- Michigan Massage Therapy
- Michigan Medical Clinics
- Michigan Medical Clinics, Inc
- Michigan Neuropsychological Society, Inc.
- Michigan Orthopaedic Institute, P.C.
- Michigan Orthopaedic Surgeons, PLLC
- Michigan Orthopaedic Surgeons, PLLC
- Michigan Orthopaedic Surgeons, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.