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Organization

NIGHT OWL DIAGNOSTICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIANN SARAFA (OPERATING MANAGER)
(248) 579-5752
Entity
Organization

Contact information

Practice address
30095 NORTHWESTERN HWY, SUITE 20A, FARMINGTON HILLS, MI 48334-3284
(248) 579-5752
(248) 479-8055
Mailing address
30095 NORTHWESTERN HWY, SUITE 20A, FARMINGTON HILLS, MI 48334-3284
(248) 579-5752
(248) 479-8055

Taxonomy

Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
Primary
AE080821
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10600244
MI
Enumeration date
01/15/2011
Last updated
10/22/2012
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