Primesource Of Michigan Llc

LBN: Primesource Of Michigan Llc
Primesource Of Michigan Llc is an health care organization with primary practice located at 2000 Town Ctr Suite 1900, Southfield MI 48075-1135. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Eye and Vision Services Providers / Optometrist, Podiatric Medicine & Surgery Service Providers / Podiatrist, Speech, Language and Hearing Service Providers / Audiologist. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Primesource Of Michigan Llc can be contacted via phone (800) 317-0711, or through Fleming, David via phone (800) 317-0711.

Contact Information

Primary practice address
2000 Town Ctr Suite 1900 Southfield MI 48075-1135
Phone: (800) 317-0711
Fax: (877) 821-6402
Website:
Map and Directions
Authorized official contact:
Name: Fleming, David
Phone: (800) 317-0711

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Eye and Vision Services Providers / Optometrist 152W00000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1114364346
LBN Legal business name Primesource Of Michigan Llc
DBA Doing business as
Authorized official Fleming, David
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2013
Last updated May 29th, 2013 - about 12 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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