MICHIGAN NEURODIAGNOSTICS, LLC (NPI# 1982149738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982149738 |
| Entity Type | Organization |
| Organization Name | MICHIGAN NEURODIAGNOSTICS, LLC |
| Practice Address |
2723 S State St Ste 101 Ann Arbor MI 48104-6188 |
| Mailing Address |
4545 Fuller Dr Suite 100 Irving TX 75038-6530 |
| Practice Telephone | 3132633275 |
| Practice Fax Number | 8662794704 |
| Mailing Telephone | 4699958416 |
| Mailing Fax Number | 8662794704 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | CHARLES ALVAREZ (CEO) |
| Authorized Official Telephone | 4699958416 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALLIANCE FAMILY OF COMPANIES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
2723 S STATE ST STE 101 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-6188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378145 | Preventive Healthcare Technologies LLC | Physiological Laboratory | 29560 Beck Rd, Wixom, MI 48393-2883 | 2020-05-28 |
| 1356960025 | Vali Medical, LLC | Physiological Laboratory | 231 Willits Alley, Birmingham, MI 48009-3338 | 2020-04-13 |
| 1992154009 | Tricity Diagnostics, LLC | Physiological Laboratory | 3055 Enterprise Drive, Suite 2, Saginaw, MI 48603 | 2016-06-09 |
| 1609209006 | Insight Diagnostics LLC | Physiological Laboratory | 17000 Executive Drive Suite B, Dearborn, MI 48126 | 2013-08-21 |
| 1063754323 | Clearpath Diagnostics LLC | Physiological Laboratory | 25354 Evergreen Rd, Southfield, MI 48075-1776 | 2013-03-25 |
| 1134262140 | Romeo Sleep Center, LLC | Physiological Laboratory | 67150 Van Dyke, #150, Washington, MI 48095 | 2007-02-15 |
| 1427149418 | Auburn Hills Sleep Center, LLC | Physiological Laboratory | 2059 N Monroe St, Suite B1a, Monroe, MI 48162-5353 | 2006-09-27 |
| 1730693821 | Pegasus Diagnostics Inc | Physiological Laboratory | 3686 Brandi Dr, Sterling Heights, MI 48310 | 2017-11-28 |
| 1457897019 | Mercy Mobile Services LLC | Physiological Laboratory | 5961 Perrytown Ct, W Bloomfield, MI 48322-1502 | 2017-01-06 |
| 1902269269 | Globalmed Diagnostics Inc | Physiological Laboratory | 17330 Northland Park Ct, Suite 203c, Southfield, MI 48075-4318 | 2016-04-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.