Great Lakes Surgical Center Llc
LBN: Great Lakes Surgical Center Llc
Great Lakes Surgical Center Llc is an health care organization with primary practice located at 26051 Lahser Rd , Southfield MI 48034-2601. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Great Lakes Surgical Center Llc can be contacted via phone (248) 223-9925, or through Metz, Keith M via phone (248) 223-9925.
Contact Information
Primary practice address
26051 Lahser Rd
Southfield MI 48034-2601
Phone: (248) 223-9925
Fax: (248) 223-9957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 261QA1903X | Michigan |
Profile Details
| NPI number | 1568420388 |
|---|---|
| LBN Legal business name | Great Lakes Surgical Center Llc |
| DBA Doing business as | |
| Authorized official | Metz, Keith M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Apr 20th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568420388 | NPPES |
| Michigan | Other | 490F328640 | BLUE CROSS SECONDARY |
| Michigan | Other | 17228 | BLUE CROSS SECONDARY |
| Michigan | Other | 40332 | BLUE CROSS SECONDARY |
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