Provider Demographics
NPI:1235248444
Name:BRIGHTON SLEEP DIAGNOSTICS INC
Entity Type:Organization
Organization Name:BRIGHTON SLEEP DIAGNOSTICS INC
Other - Org Name:BRIGHTON SLEEP DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE BILLER
Authorized Official - Prefix:MS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LOOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-343-5000
Mailing Address - Street 1:7960 GRAND RIVER RD STE 160
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-7331
Mailing Address - Country:US
Mailing Address - Phone:810-220-5400
Mailing Address - Fax:810-220-5403
Practice Address - Street 1:7960 GRAND RIVER RD STE 160
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-7331
Practice Address - Country:US
Practice Address - Phone:810-220-5400
Practice Address - Fax:810-220-5403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI290D711780OtherBCBSM
MI0P41400Medicare PIN
MI=========OtherPPOM/COMMERCIAL