Beaumont West Bloomfield Asc LLC
Clinic/Center, Ambulatory Surgical in West Bloomfield, MI. Organization (NPI-2).
NPI number1982802203
StatusActive
Last updated in NPPESDec 21, 2015
Details
- NPI
- 1982802203
- Entity type
- Organization (NPI-2)
- Legal business name
- Beaumont West Bloomfield Asc LLC
- Organization subpart
- No
- Enumeration date
- Jul 8, 2007
- Last updated
- Dec 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 1010000081 | MI | Yes |
Practice location
6900 Orchard Lake RoadSuite Ll100
West Bloomfield, MI 48322
Phone 248-406-2400 · Fax 248-406-2401
Mailing address
6900 Orchard Lake RoadSuite Ll100
West Bloomfield, MI 48322
Phone 248-406-2400 · Fax 248-406-2401
Authorized official
John T Fox
Ceo
2482133334
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Ambulatory Surgical Clinic/Center providers in West Bloomfield, MI
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.