Healthcare Provider Details
I. General information
NPI: 1427149418
Provider Name (Legal Business Name): AUBURN HILLS SLEEP CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/27/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2059 N MONROE ST SUITE B1A
MONROE MI
48162-5353
US
IV. Provider business mailing address
2059 N MONROE ST SUITE B1A
MONROE MI
48162-5353
US
V. Phone/Fax
- Phone: 877-376-7573
- Fax: 877-605-4258
- Phone: 877-376-7573
- Fax: 877-605-4258
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 293D00000X |
| Taxonomy | Physiological Laboratory |
| License Number | |
| License Number State | MI |
VIII. Authorized Official
Name: MR.
THOMAS
F
LEFFLER
Title or Position: PRESIDENT
Credential:
Phone: 419-882-9870