Provider Demographics
NPI:1396857298
Name:AMERICAN SLEEP CENTERS LLC
Entity Type:Organization
Organization Name:AMERICAN SLEEP CENTERS LLC
Other - Org Name:MMP SLEEP DISORDERS OF WESTLAND
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-261-4848
Mailing Address - Street 1:35180 NANKIN BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-2092
Mailing Address - Country:US
Mailing Address - Phone:734-525-0877
Mailing Address - Fax:734-261-5170
Practice Address - Street 1:35180 NANKIN BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-2092
Practice Address - Country:US
Practice Address - Phone:734-525-0877
Practice Address - Fax:734-261-5170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIB8378F261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N70800Medicare ID - Type Unspecified