Organization
SLEEPCARDIA LLC
Active
Other names
Limited Liability Corporation LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH NASUTI (MANAGING MEMBER)
(586) 250-5330
Entity
Organization
Contact information
Practice address
18223 E 10 MILE RD, STE 400, ROSEVILLE, MI 48066-5821
(877) 818-0205
(586) 948-3804
Mailing address
18223 E 10 MILE RD STE 400, ROSEVILLE, MI 48066-5821
(586) 225-8500
(888) 977-3829
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
B0964R
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01605
BLUE CROSS BLUE SHIELD
MI
01
—
0P08740
MEDICARE PTAN
—
05
—
469024110
—
MI
01
—
7696683
AETNA
MI
Enumeration date
04/13/2006
Last updated
03/16/2022
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