WEST BLOOMFIELD SURGERY CENTER LLC NPI 1679526297

NPI Information

NPI: 1679526297
Provider Name: WEST BLOOMFIELD SURGERY CENTER, LLC

Doing Business As: LAKES SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
2300 HAGGERTY RD
SUITE 1000
WEST BLOOMFIELD, MI
ZIP 48323
Phone: (248) 896-6300
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WEST BLOOMFIELD SURGERY CENTER, LLC is an ambulatory surgical clinic center in West Bloomfield, MI. WEST BLOOMFIELD SURGERY CENTER, LLC NPI is 1679526297. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakes Surgery Center.

The provider's business location address is:

2300 HAGGERTY RD
SUITE 1000
WEST BLOOMFIELD, MI
ZIP 48323-184
Phone: (248) 896-6300
Fax: (248) 896-6321

The provider's authorized official is Jennifer Boyd Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5954.

The CLIA number assigned to this NPI record is 23D1035306 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 1/4/2024.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	63-6923	MICHIGAN	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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