BLUE OCEANSS LLC NPI 1669194643

NPI Information

  • NPI: 1669194643
  • Provider Name: BLUE OCEANSS LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 490 FAIRBROOK ST
    NORTHVILLE, MI
    ZIP 48167
  • Phone: (248) 862-1040

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NPI Details

BLUE OCEANSS LLC is a multi-specialty clinic center in Northville, MI. BLUE OCEANSS LLC NPI is 1669194643. The provider is registered as an organization entity type.

The provider's business location address is:

490 FAIRBROOK ST
NORTHVILLE, MI
ZIP 48167-534
Phone: (248) 862-1040

The provider's authorized official is Austin Rogers .
The authorized official title is Owner and has the following contact phone number (248) 862-1040.

The enumeration date for this NPI number is 9/15/2022 and was last updated on 9/15/2022.

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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 11/21/2025

NPI Synchronization or Removal

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