Blue Light Inc.

LBN: Blue Light Inc.
Blue Light Inc. is an health care organization with primary practice located at 26105 Orchard Lake Rd Suite #208, Farmington Hills MI 48334-4576. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Blue Light Inc. can be contacted via phone (248) 615-3042, or through Clark, Phyllis via phone (313) 999-4890.

Contact Information

Primary practice address
26105 Orchard Lake Rd Suite #208 Farmington Hills MI 48334-4576
Phone: (248) 615-3042
Fax: (248) 615-3047
Website:
Map and Directions
Authorized official contact:
Name: Clark, Phyllis
Phone: (313) 999-4890

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1497168215
LBN Legal business name Blue Light Inc.
DBA Doing business as
Authorized official Clark, Phyllis
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2014
Last updated Jun 9th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497168215 NPPES
Michigan MEDICAID 1693530

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