12 MILE SURGERY CENTER, PLLC; NPI #1841059854

Contact Information

12 MILE SURGERY CENTER, PLLC

29000 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48081-3018

Phone: 586-343-8717
Fax: 586-343-8773
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for 12 MILE SURGERY CENTER, PLLC

NPI Number	`1841059854`
LBN Legal business name	12 MILE SURGERY CENTER, PLLC
Authorized official	AMER ALAME - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/14/2024
Last updated	10/04/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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