MICHIGAN NEURODIAGNOSTICS, LLC – NPI #1982149738
Physiological Laboratory

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

MICHIGAN NEURODIAGNOSTICS, LLC is a physiological laboratory located in SOUTHFIELD, MI. NPPES has assigned the NPI number 1982149738 to MICHIGAN NEURODIAGNOSTICS, LLC on January 04, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.

The NPI profile was last updated on Apr 29, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHIGAN NEURODIAGNOSTICS, LLC below.

NPI Profile for
MICHIGAN NEURODIAGNOSTICS, LLC

NPI Number
1982149738
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MICHIGAN NEURODIAGNOSTICS, LLC
Primary location
27209 LAHSER RD STE 130
SOUTHFIELD, MI 48034-8401
Phone: (313) 263-3275 Fax: (866) 279-4704
Mailing address
600 LAS COLINAS BLVD E STE 2000
IRVING, TX 75039-5607
Phone: (469) 995-8416 Fax: (866) 279-4704
Organization Subpart
Yes - MICHIGAN NEURODIAGNOSTICS, LLC is subpart of another organization.
Authorized Official
CHARLES ALVAREZ
CEO
Phone: (469) 995-8416
Updated
Certification Date
Apr 29, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
293D00000X
- Physiological Laboratory (Primary)
261QS1200X
- Clinic/Center / Sleep Disorder Diagnostic
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.