LIVONIA AMBULATORY SURGICAL CENTER – NPI #1356434658
Clinic/Center

LIVONIA AMBULATORY SURGICAL CENTER is an AHC clinic located in LIVONIA, MI. NPPES has assigned the NPI number 1356434658 to LIVONIA AMBULATORY SURGICAL CENTER on October 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LIVONIA AMBULATORY SURGICAL CENTER” is a dba name, the actual legal business name for this organization is REGENTS OF THE UNIVERSITY OF MICHIGAN. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 5 years ago on May 03, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIVONIA AMBULATORY SURGICAL CENTER below.

NPI Profile for
REGENTS OF THE UNIVERSITY OF MICHIGAN

NPI Number
1356434658
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REGENTS OF THE UNIVERSITY OF MICHIGAN
Doing Business As (dba): LIVONIA AMBULATORY SURGICAL CENTER
Primary location
19900 HAGGERTY RD
LIVONIA, MI 48152
Phone: (734) 462-1888 Fax:
Mailing address
3621 S STATE ST
PROVIDER ENROLLMENT
ANN ARBOR, MI 48108-1633
Phone: (734) 647-5299 Fax:
Organization Subpart
No
Authorized Official
DAVID MILLER
PRESIDENT
Phone: (734) 936-3568
Updated
Certification Date
Apr 09, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LIVONIA AMBULATORY SURGICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBC OF MI LIVONIA ASCMI40029
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
MI 810060

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.