GREATER LAKES AMBULATORY SURGERY CENTER – NPI #1679717466
Clinic/Center

GREATER LAKES AMBULATORY SURGERY CENTER is an AHC clinic located in CILNTON TOWNSHIP, MI. NPPES has assigned the NPI number 1679717466 to GREATER LAKES AMBULATORY SURGERY CENTER on April 24, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GREATER LAKES AMBULATORY SURGERY CENTER” is a dba name, the actual legal business name for this organization is GREATER LAKES AMBULATORY SURGICAL CENTER, LLC. 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 9 years ago on Dec 28, 2016. 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 GREATER LAKES AMBULATORY SURGERY CENTER below.

NPI Profile for
GREATER LAKES AMBULATORY SURGICAL CENTER, LLC

NPI Number
1679717466
Enumeration Date

(more than 17 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
GREATER LAKES AMBULATORY SURGICAL CENTER, LLC
Doing Business As (dba): GREATER LAKES AMBULATORY SURGERY CENTER
Primary location
16100 19 MILE RD
SUITE 100
CILNTON TOWNSHIP, MI 48038-1148
Phone: (586) 286-0000 Fax: (586) 286-0005
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALLISON BRYNAERT
ADMINISTRATOR/DIRECTOR
Phone: (586) 286-0000
Updated
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 506836

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.