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SLEEP DIAGNOSTIC CENTER LLC NPI 1164600490


NPI Information

NPI: 1164600490
Provider Name: SLEEP DIAGNOSTIC CENTER LLC
Classification: Internal Medicine - 207RS0012X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
5310 W CAPITOL DR
SUITE 215
MILWAUKEE, WI
ZIP 53216
Phone: (414) 445-0400
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SLEEP DIAGNOSTIC CENTER LLC is a sleep medicine internal medicine in Milwaukee, WI. The provider is an Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. SLEEP DIAGNOSTIC CENTER LLC NPI is 1164600490. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5310 W CAPITOL DR
SUITE 215
MILWAUKEE, WI
ZIP 53216-263
Phone: (414) 445-0400
Fax: (414) 445-0402

The provider's authorized official is Mohammad Ali .
The authorized official title is Member Llc and has the following contact phone number (414) 445-0400.

The enumeration date for this NPI number is 2/8/2008 and was last updated on 2/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RS0012XInternal MedicineSleep MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
121317400MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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