Life- Alysis Kidney Center, Llc

LBN: Life- Alysis Kidney Center, Llc
Life- Alysis Kidney Center, Llc is an health care organization with primary practice located at 5830 Conner St , Detroit MI 48213-3458. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Life- Alysis Kidney Center, Llc can be contacted via phone (313) 371-5433, or through Gray, Lyle Maruice via phone (313) 371-5433.

Contact Information

Primary practice address
5830 Conner St Detroit MI 48213-3458
Phone: (313) 371-5433
Fax: (313) 371-6937
Website:
Map and Directions
Authorized official contact:
Name: Gray, Lyle Maruice
Phone: (313) 371-5433

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 302R00000X Michigan

Profile Details

NPI number 1255442190
LBN Legal business name Life- Alysis Kidney Center, Llc
DBA Doing business as
Authorized official Gray, Lyle Maruice
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 23rd, 2013 - about 11 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 1255442190 NPPES
Michigan MEDICAID 4603219

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