Healthcare Provider Details

I. General information

NPI: 1346267234
Provider Name (Legal Business Name): LAPEER SLEEP DIAGNOSTIC CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 08/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

544 N MAIN ST
LAPEER MI
48446-1923
US

IV. Provider business mailing address

544 N MAIN ST
LAPEER MI
48446-1923
US

V. Phone/Fax

Practice location:
  • Phone: 810-245-3446
  • Fax: 810-245-3449
Mailing address:
  • Phone: 810-245-3446
  • Fax: 810-245-3449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. PETER HERRINGTON
Title or Position: OWNER
Credential:
Phone: 810-245-3446