Botsford Outreach Lab

LBN: Botsford General Hospital
Botsford Outreach Lab is an health care organization with primary practice located at 28050 Grand River Ave , Farmington Hills MI 48336-5919. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology, which is considered as the primary health care specialty. Botsford General Hospital can be contacted via phone (248) 471-8000, or through Odom, Lee Ann via phone (947) 522-3326.

Contact Information

Primary practice address
28050 Grand River Ave Farmington Hills MI 48336-5919
Fax:
Website:
Authorized official contact:
Name: Odom, Lee Ann

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X

Profile Details

NPI number 1316983000
LBN Legal business name Botsford General Hospital
DBA Doing business as Botsford Outreach Lab
Authorized official Odom, Lee Ann
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 21st, 2006
Last updated Oct 18th, 2021 - about 3 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 1316983000 NPPES
Michigan Other 00276 BLUE CROSS
Michigan MEDICAID 5170228 BLUE CROSS
Michigan Other 230151 BLUE CROSS
Michigan Other 230151 BLUE CROSS

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