PIONEER ENDOSCOPY & SURGERY CENTER L.L.C. NPI 1649752650

NPI Information

NPI: 1649752650
Provider Name: PIONEER ENDOSCOPY & SURGERY CENTER, L.L.C.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 23D2255539

Address:
36401 VAN DYKE AVE
STERLING HEIGHTS, MI
ZIP 48312
Phone: (586) 757-6400
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PIONEER ENDOSCOPY & SURGERY CENTER, L.L.C. is an ambulatory surgical clinic center in Sterling Heights, MI. PIONEER ENDOSCOPY & SURGERY CENTER, L.L.C. NPI is 1649752650. The provider is registered as an organization entity type.

The provider's business location address is:

36401 VAN DYKE AVE
STERLING HEIGHTS, MI
ZIP 48312-763
Phone: (586) 757-6400
Fax: (586) 757-8400

The provider's authorized official is Ghaith M Ibrahim .
The authorized official title is Board Executive and has the following contact phone number (586) 215-7476.

The CLIA number assigned to this NPI record is 23D2255539 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2018 and was last updated on 5/30/2023.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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

NPI Synchronization or Removal

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