Impact Aco Billing Company LLC
Internal Medicine in Pontiac, MI. Organization (NPI-2).
NPI number1003608837
StatusActive
Last updated in NPPESMay 19, 2025
Details
- NPI
- 1003608837
- Entity type
- Organization (NPI-2)
- Legal business name
- Impact Aco Billing Company LLC
- Organization subpart
- No
- Enumeration date
- May 19, 2025
- Certification date
- May 19, 2025
- Last updated
- May 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
50 N Perry StPontiac, MI 48342-2217
Phone 248-338-5516
Mailing address
50 N Perry StPontiac, MI 48342-2217
Phone 248-338-5516
Authorized official
Fadi Salloum
President
2483385516
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