PLATINUM MANAGEMENT LLC NPI 1194494484

NPI Information

NPI: 1194494484
Provider Name: PLATINUM MANAGEMENT LLC

Doing Business As: MOVI ASC

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 23D2091013

Address:
5250 AUTO CLUB DR STE 170
DEARBORN, MI
ZIP 48126
Phone: (313) 335-9800
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PLATINUM MANAGEMENT LLC is an ambulatory surgical clinic center in Dearborn, MI. PLATINUM MANAGEMENT LLC NPI is 1194494484. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Movi Asc.

The provider's business location address is:

5250 AUTO CLUB DR STE 170
DEARBORN, MI
ZIP 48126-619
Phone: (313) 335-9800
Fax: (313) 359-8305

The provider's authorized official is Autumn Nicole Manis .
The authorized official title is Admin and has the following contact phone number (313) 359-8300.

The CLIA number assigned to this NPI record is 23D2091013 - ambulatory surgery center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/9/2021 and was last updated on 11/16/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery				No
2	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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: 4/28/2024

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