Provider Type Icon

LAKES CARDIOLOGY PC NPI 1538785415


NPI Information

NPI: 1538785415
Provider Name: LAKES CARDIOLOGY PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 23D2185659

Address:
9640 COMMERCE RD STE 106
COMMERCE TWP, MI
ZIP 48382
Phone: (248) 217-1314
Get Directions

LAKES CARDIOLOGY PC is a cardiovascular disease internal medicine in Commerce Twp, MI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. LAKES CARDIOLOGY PC NPI is 1538785415. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9640 COMMERCE RD STE 106
COMMERCE TWP, MI
ZIP 48382-167
Phone: (248) 217-1314

The provider's authorized official is Jay Kozlowski .
The authorized official title is Owner and has the following contact phone number (248) 217-1314.

The CLIA number assigned to this NPI record is 23D2185659 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2020 and was last updated on 6/17/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.