Great Lakes Surgical Center Llc in Southfield - Ambulatory Surgical
Great Lakes Surgical Center Llc - NPI 1568420388
Great Lakes Surgical Center Llc is a Ambulatory Surgical in Southfield, Michigan. Great Lakes Surgical Center Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Great Lakes Surgical Center Llc is 1568420388. The last update date is 2008-04-20.
Great Lakes Surgical Center Llc's current location address is 26051 Lahser Rd, Southfield, Michigan. You can contact this provider via phone number 2482239925 and fax number 2482239957. The mailing address for Great Lakes Surgical Center Llc is 26051 Lahser Rd, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Surgical Center Llc |
|---|---|
| Address | 26051 Lahser Rd, Southfield, Michigan |
| Phone Number | 2482239925 |
| Fax Number | 2482239957 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Metz M Keith |
| Credentials | M.D. |
| Telephone Number | 2482239925 |
NPI Number Detail
| NPI Number | 1568420388 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 26051 Lahser Rd |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 480342601 |
| Phone Number | 2482239925 |
| Fax Number | 2482239957 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 261QA1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 490F328640 | MI | BLUE CROSS SECONDARY | |
| 17228 | MI | MCARE | |
| 40332 | MI | BLUE CROSS PRIMARY |
Post Comment/ Review Below
What is the unique identifier code issued to Great Lakes Surgical Center Llc by the Centers for Medicare & Medicaid Services?
The Great Lakes Surgical Center Llc has been assigned the NPI (National Provider Identifier) 1568420388. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Great Lakes Surgical Center Llc's facilities are geographically located?
The facilities of Great Lakes Surgical Center Llc are physically situated at the following location: 26051 Lahser Rd, Southfield, MI, 480342601.
What is Great Lakes Surgical Center Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Great Lakes Surgical Center Llc is Ambulatory Surgical, and the taxonomy code that categorizes this field of expertise is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568420388 to Great Lakes Surgical Center Llc?
The Centers for Medicare & Medicaid Services originally issued the 1568420388 to Great Lakes Surgical Center Llc on 2006-05-02.
As of what date was the information pertaining to Great Lakes Surgical Center Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Great Lakes Surgical Center Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-20.
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