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TLC LASER CENTER OF DETROIT LLC NPI 1013120641


NPI Information

NPI: 1013120641
Provider Name: TLC LASER CENTER OF DETROIT, LLC

Doing Business As: TLC LASER EYE CENTERS DETROIT

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
34405 W 12 MILE RD
STE. 154
FARMINGTON HILLS, MI
ZIP 48331
Phone: (248) 489-0400
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TLC LASER CENTER OF DETROIT, LLC is a clinic center in Farmington Hills, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). TLC LASER CENTER OF DETROIT, LLC NPI is 1013120641. The provider is registered as an organization entity type.
The provider Is Doing Business As Tlc Laser Eye Centers Detroit.

The provider's business location address is:

34405 W 12 MILE RD
STE. 154
FARMINGTON HILLS, MI
ZIP 48331-391
Phone: (248) 489-0400

The provider's authorized official is Trish Munsell .
The authorized official title is Paralegal and has the following contact phone number (636) 534-2300.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 1/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1180F373640OTHERMICHIGANBCBS MICHIGAN G2 QUAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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