Provider Demographics
NPI:1396398178
Name:SLEEPATHOME DIAGNOSTIC TESTING, LLC
Entity Type:Organization
Organization Name:SLEEPATHOME DIAGNOSTIC TESTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:N
Authorized Official - Last Name:NASUTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-225-8500
Mailing Address - Street 1:46813 GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-5225
Mailing Address - Country:US
Mailing Address - Phone:586-225-8500
Mailing Address - Fax:586-225-8585
Practice Address - Street 1:46813 GARFIELD RD
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-5225
Practice Address - Country:US
Practice Address - Phone:586-225-8500
Practice Address - Fax:586-225-8585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-19
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic