Lakeshore Mammography Center Pc

LBN: Lakeshore Mammography Center Pc
Lakeshore Mammography Center Pc is an health care organization with primary practice located at 39200 Garfield Rd Suite A, Clinton Township MI 48038-4095. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Lakeshore Mammography Center Pc can be contacted via phone (586) 228-8000, or through Sutherland, Judith A via phone (586) 228-8000.

Contact Information

Primary practice address
39200 Garfield Rd Suite A Clinton Township MI 48038-4095
Fax: (586) 228-7870
Website:
Authorized official contact:
Name: Sutherland, Judith A

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Michigan

Profile Details

NPI number 1508936311
LBN Legal business name Lakeshore Mammography Center Pc
DBA Doing business as
Authorized official Sutherland, Judith A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 21st, 2022 - 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 1508936311 NPPES
Michigan Other 700Q263820 BCBS & BCN
Michigan MEDICAID 104361216 BCBS & BCN
Michigan MEDICAID 104341680 BCBS & BCN

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