Organization
SLEEP DIAGNOSTIC CENTER OF MICHIGAN
Active
Parent organization
LIVONIA DIAGNOSTIC CENTER,P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVONIA DIAGNOSTIC CENTER,P.C.
Authorized official
DR. JOSE L EVANGELISTA MD (MD)
(734) 427-9440
Entity
Organization
Contact information
Practice address
3999 VENOY RD, WAYNE, MI 48184-1485
(734) 727-0182
(734) 727-0441
Mailing address
3999 VENOY RD, WAYNE, MI 48184-1485
(734) 727-0182
(734) 727-0441
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
4301031560
MI
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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