Great Lakes Pediatric Cardiology, Pllc

LBN: Great Lakes Pediatric Cardiology Pllc
Great Lakes Pediatric Cardiology, Pllc is an health care organization with primary practice located at 43200 Dequindre Rd Ste 105 , Sterling Heights MI 48314-1707. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty. Great Lakes Pediatric Cardiology Pllc can be contacted via phone (248) 780-9490, or through Gonzalez Rangel, Ismael via phone (361) 228-5103.

Contact Information

Primary practice address
43200 Dequindre Rd Ste 105 Sterling Heights MI 48314-1707
Phone: (248) 780-9490
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez Rangel, Ismael Doctor of Medicine (MD)
Phone: (361) 228-5103

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X

Profile Details

NPI number 1972293967
LBN Legal business name Great Lakes Pediatric Cardiology Pllc
DBA Doing business as Great Lakes Pediatric Cardiology, Pllc
Authorized official Gonzalez Rangel, Ismael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2023
Last updated Jun 29th, 2023 - about last year

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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