Organization
LIVONIA SLEEP CENTER LLC
Active
Other names
Limited Liability Corporation LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY B KERR (MANAGING DIRECTOR)
(248) 755-5522
Entity
Organization
Contact information
Practice address
17880 FARMINGTON RD, BLDG B, LIVONIA, MI 48152-3104
(248) 465-1848
(248) 380-8620
Mailing address
3055 KETTERING BLVD, SUITE 219, DAYTON, OH 45439-1900
(586) 948-3803
(586) 948-3804
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H22686
BLUE CROSS AND BLUE SHIEL
MI
Enumeration date
04/12/2006
Last updated
08/22/2020
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