Sports Medicine Center Of Metro Detroit Pc

LBN: Sports Medicine Center Of Metro Detroit Pc
Sports Medicine Center Of Metro Detroit Pc is an health care organization with primary practice located at 5600 Crooks Rd Suite 103, Troy MI 48098-2811. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Sports Medicine Center Of Metro Detroit Pc can be contacted via phone (248) 813-0002, or through Tremonti, Jackie via phone (248) 813-0002.

Contact Information

Primary practice address
5600 Crooks Rd Suite 103 Troy MI 48098-2811
Phone: (248) 813-0002
Fax: (248) 813-0007
Website:
Map and Directions
Authorized official contact:
Name: Tremonti, Jackie
Phone: (248) 813-0002

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X JC039731 Michigan

Profile Details

NPI number 1912023458
LBN Legal business name Sports Medicine Center Of Metro Detroit Pc
DBA Doing business as
Authorized official Tremonti, Jackie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Aug 18th, 2014 - about 10 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 1912023458 NPPES
Michigan MEDICAID 1741033

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