Organization Active NPI

Michigan Neurodiagnostics, LLC

  • Physiological Laboratory
  • Southfield, MI
National Provider Identifier
1982149738
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171226000518 MI Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4587922471 Practice locations: Southfield, MI

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.