# COMPREHENSIVE SLEEP DIAGNOSTICS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** COMPREHENSIVE SLEEP CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457739534
- **Authorized official:** OKTAI MAMEDOV MD (SOLE PROPRIETOR)
- **Authorized official phone:** (443) 248-1877

## Contact information

- **Practice address:** 3515 COOLIDGE RD STE A, EAST LANSING, MI 48823-8014
- **Practice address phone:** (517) 755-6222
- **Practice address fax:** (888) 501-3585
- **Mailing address:** 18268 PARKSHORE DR, NORTHVILLE, MI 48168-8588
- **Mailing address phone:** (517) 755-6888
- **Mailing address fax:** (517) 657-7759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 4301096000 | MI | Yes |

## Other

- **Enumeration date:** 05/11/2015
- **Last updated:** 10/04/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0C30925 | BLUE CROSS | MI |
| 05 | — | 1457739534 | — | MI |