HALL ROAD ASC LLC – NPI #1588285050
Clinic/Center

HALL ROAD ASC LLC is an AHC clinic located in UTICA, MI. NPPES has assigned the NPI number 1588285050 to HALL ROAD ASC LLC on May 06, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. 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 last updated on Apr 28, 2026. 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 HALL ROAD ASC LLC below.

NPI Profile for
HALL ROAD ASC LLC

NPI Number
1588285050
Enumeration Date

(more than 6 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
HALL ROAD ASC LLC
Other name(s)
All associated names:
Doing Business As (dba)
Michigan Surgical Utica
Doing Business As (dba)
Mrs.
Primary location
11051 HALL RD STE 100
UTICA, MI 48317-5737
Phone: (248) 740-0658 Fax:
Mailing address
130 TOWN CENTER DR STE 101
TROY, MI 48084-1744
Phone: (248) 740-0658 Fax:
Organization Subpart
No
Authorized Official
BONNIE GREENBLATT
EXECUTIVE ADMINISTRATOR
Phone: (248) 740-0658
Updated
Certification Date
Apr 28, 2026

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.

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)

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.