DEARBORN SLEEP LAB LLC NPI 1679653794

NPI Information

  • NPI: 1679653794
  • Provider Name: DEARBORN SLEEP LAB LLC
  • Classification: Internal Medicine - 207RS0012X
  • Specialization: Sleep Medicine
  • Entity Type: Organization
  • Address: 18100 OAKWOOD BLVD
    SUITE 310
    DEARBORN, MI
    ZIP 48124
  • Phone: (313) 438-9800

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NPI Details

DEARBORN SLEEP LAB LLC is a sleep medicine internal medicine in Dearborn, MI. 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. DEARBORN SLEEP LAB LLC NPI is 1679653794. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18100 OAKWOOD BLVD
SUITE 310
DEARBORN, MI
ZIP 48124-085
Phone: (313) 438-9800

The provider's authorized official is Roderick Boyes .
The authorized official title is Co-owner and has the following contact phone number (313) 563-3332.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Sleep study in sleep lab with continuous airway pressure (6 years or older) (HCPCS:95811)
  • Sleep study in sleep lab (6 years or older) (HCPCS:95810)

The enumeration date for this NPI number is 10/16/2006 and was last updated on 11/14/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10P43560MEDICARE PINMICHIGAN

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: 11/21/2025

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