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MICHIGAN ENDOSCOPY CENTER LLC NPI 1629075106


NPI Information

NPI: 1629075106
Provider Name: MICHIGAN ENDOSCOPY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 23D2067097

Address:
30055 NORTHWESTERN HWY
SUITE L-60
FARMINGTON HILLS, MI
ZIP 48334
Phone: (248) 865-6555
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MICHIGAN ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in Farmington Hills, MI. MICHIGAN ENDOSCOPY CENTER LLC NPI is 1629075106. The provider is registered as an organization entity type.

The provider's business location address is:

30055 NORTHWESTERN HWY
SUITE L-60
FARMINGTON HILLS, MI
ZIP 48334-230
Phone: (248) 865-6555
Fax: (248) 865-6554

The provider's authorized official is Sharon M Hohlfeld .
The authorized official title is Co-treasurer and has the following contact phone number (215) 589-9024.

The CLIA number assigned to this NPI record is 23D2067097 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 4/22/2020.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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
1010473OTHERMICHIGANCERTIFICATE OF NEED
240373OTHERMICHIGANBCBSMI
323-C0001045OTHERMEDICARE ASC NUMBER
423389OTHERAAAHC ACCREDITATION
523D1006055OTHERCLIA CERTIFICATE
6636910OTHERMICHIGANSTATE LICENESE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.