SIXTY FOURTH STREET LLC is an ambulatory surgical clinic center in Byron Center, MI. SIXTY FOURTH STREET LLC NPI is 1164538286. The provider is registered as an organization entity type.
The provider's business location address is:
2373 64TH ST SW
SUITE 2200
BYRON CENTER, MI
ZIP 49315-974
Phone: (616) 685-3975
Fax: (616) 685-3977
The provider's authorized official is Andrew Livingston .
The authorized official title is Medical Director and has the following contact phone number (616) 685-3975.
The CLIA number assigned to this NPI record is 23D1058632 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/22/2006 and was last updated on 4/23/2018.