Provider Demographics
NPI:1811951221
Name:SLEEPCARDIA LLC
Entity type:Organization
Organization Name:SLEEPCARDIA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:NASUTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-250-5330
Mailing Address - Street 1:18223 E 10 MILE RD STE 400
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-5821
Mailing Address - Country:US
Mailing Address - Phone:586-225-8500
Mailing Address - Fax:888-977-3829
Practice Address - Street 1:18223 E 10 MILE RD
Practice Address - Street 2:STE 400
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-5821
Practice Address - Country:US
Practice Address - Phone:877-818-0205
Practice Address - Fax:586-948-3804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-13
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIB0964R261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI469024110Medicaid
MI7696683OtherAETNA
0P08740OtherMEDICARE PTAN
MI0E01605OtherBLUE CROSS BLUE SHIELD