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Organization
UNASOURCE SLEEP CENTER, LLC
Active
Organization
UNASOURCE SLEEP CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY B KERR (MANAGING DIRECTOR)
(248) 755-5522
Entity
Organization
Contact information
Practice address
4550 INVESTMENT DRIVE, SUITE 230, TROY, MI 48098-6368
(248) 755-5522
Mailing address
3055 KETTERING BLVD, SUITE 219B, MORAINE, OH 45439-1989
(800) 346-5837
(937) 395-4415
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
473709910
—
MI
01
—
700F323810
BC/BS MI
MI
01
—
7956627
AETNA
MI
Enumeration date
04/13/2006
Last updated
09/04/2009
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