Provider Demographics
NPI:1679871792
Name:COMPREHENSIVE SLEEP SOLUTIONS & DIAGNOSTIC CENTER, LLC
Entity type:Organization
Organization Name:COMPREHENSIVE SLEEP SOLUTIONS & DIAGNOSTIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-510-9971
Mailing Address - Street 1:355 CHALFONTE AVE
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-2930
Mailing Address - Country:US
Mailing Address - Phone:313-510-9971
Mailing Address - Fax:313-417-8090
Practice Address - Street 1:27177 LAHSER RD
Practice Address - Street 2:210
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-4714
Practice Address - Country:US
Practice Address - Phone:248-223-9747
Practice Address - Fax:313-226-0668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic