Organization
SYNAPSE NEURODIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY LUKASIK (ADMINISTRATIVE DIRECTOR)
(248) 330-3520
Entity
Organization
Contact information
Practice address
6418 MISSION CT, W BLOOMFIELD, MI 48324-1398
(248) 330-3520
(248) 856-1770
Mailing address
6418 MISSION CT, W BLOOMFIELD, MI 48324-1398
(248) 330-3520
(488) 561-7702
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
—
—
246ZE0500X
EEG Specialist/Technologist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
247200000X
Other Technician
—
—
2472E0500X
EEG Technician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Enumeration date
05/20/2010
Last updated
09/19/2024
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