WEST BLOOMFIELD SURGERY CENTER LLC NPI 1679526297

NPI Information

  • NPI: 1679526297
  • Provider Name: WEST BLOOMFIELD SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: LAKES SURGERY CENTER
  • CLIA Number: 23D1035306
  • Address: 2300 HAGGERTY RD
    SUITE 1000
    WEST BLOOMFIELD, MI
    ZIP 48323
  • Phone: (248) 896-6300

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NPI Details

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye (HCPCS:66988)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Partial removal of eye fluid between lens and retina (HCPCS:67005)

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
1261QA1903XClinic/CenterAmbulatory Surgical63-6923MICHIGANYes

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

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