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TLC LASER CENTER OF KALAMAZOO LLC NPI 1710191960


NPI Information

NPI: 1710191960
Provider Name: TLC LASER CENTER OF KALAMAZOO, LLC

Doing Business As: TLC KALAMAZOO

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1350 W CENTRE AVE
STE. 110
PORTAGE, MI
ZIP 49024
Phone: (269) 329-1003
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TLC LASER CENTER OF KALAMAZOO, LLC is a clinic center in Portage, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). TLC LASER CENTER OF KALAMAZOO, LLC NPI is 1710191960. The provider is registered as an organization entity type.
The provider Is Doing Business As Tlc Kalamazoo.

The provider's business location address is:

1350 W CENTRE AVE
STE. 110
PORTAGE, MI
ZIP 49024-361
Phone: (269) 329-1003

The provider's authorized official is Brian L Andrew .
The authorized official title is Secretary and has the following contact phone number (636) 534-2300.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 6/18/2008.


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
1261Q00000XClinic/CenterYes

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

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