LIVONIA OUTPATIENT SURGERY CENTER LLC NPI 1639476377

NPI Information

NPI: 1639476377
Provider Name: LIVONIA OUTPATIENT SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 23D2022963

Address:
33400 6 MILE RD
SUITE B
LIVONIA, MI
ZIP 48152
Phone: (810) 623-1482
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LIVONIA OUTPATIENT SURGERY CENTER, LLC is an ambulatory surgical clinic center in Livonia, MI. LIVONIA OUTPATIENT SURGERY CENTER, LLC NPI is 1639476377. The provider is registered as an organization entity type.

The provider's business location address is:

33400 6 MILE RD
SUITE B
LIVONIA, MI
ZIP 48152-143
Phone: (810) 623-1482

The provider's authorized official is Gregory Nodland .
The authorized official title is Chief Executive Officer and has the following contact phone number (734) 452-7111.

The CLIA number assigned to this NPI record is 23D2022963 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2011 and was last updated on 3/16/2023.

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	261QS0132X	Clinic/Center	Ophthalmologic 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: 5/5/2024

NPI Synchronization or Removal

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