GREAT LAKES LITHOTRIPSY, LLC (NPI# 1811350846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811350846 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES LITHOTRIPSY, LLC |
| Practice Address |
230 N Washington Sq Ste 200 Lansing MI 48933-1312 |
| Mailing Address |
1700 W Park Dr Suite 410 Westborough MA 01581-3939 |
| Practice Telephone | 7039554923 |
| Practice Fax Number | 5713130262 |
| Mailing Telephone | 7039554923 |
| Mailing Fax Number | 5713130262 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MRS. SUSANNE TALEBIAN (BUSINESS MANAGER) |
| Authorized Official Telephone | 7039554923 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNITED MEDICAL SYSTEMS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QL0400X |
Clinic/Center Specialization: Lithotripsy |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2075 Coolidge Rd, East Lansing, MI 488231378 | 7039554923 | 5713130262 |
| Street Address |
230 N WASHINGTON SQ STE 200 |
| City | LANSING |
| State | MI |
| Zip Code | 48933-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000549 | Cayla C Ulrich | Student in an Organized Health Care Education/Training Program | 215 E Michigan Ave, Lansing, MI 48933 | 2019-06-03 |
| 1962995829 | Tri-county Cousneling Service LLC | Community/Behavioral Health | 105 W Hillsdale St, Lansing, MI 48933 | 2018-06-14 |
| 1659577617 | James Theodore Lamond | Dentist | 314 N Walnut, Lansing, MI 48933 | 2007-06-26 |
| 1568501278 | Lawrence A Wareck | Dentist | 601 S. Grand Avenue, Lansing, MI 48933 | 2007-02-06 |
| 1467501130 | Lansing Community College | Dentist | 515 N. Washington Sq., Lansing, MI 48933 | 2007-01-10 |
| 1053952820 | Kerri N Sinnott | Nurse Practitioner | 215 E Michigan Ave, Lansing, MI 48933 | 2019-10-03 |
| 1225234925 | Curt D Mcdaniel | Chiropractor | 117 S Washington Ave, Lansing, MI 48933 | 2007-06-21 |
| 1154460707 | Michael B. Hutcheson, Dds PC | Dentist | 601 S. Grand Avenue, Lansing, MI 48933 | 2007-02-06 |
| 1972567766 | Sumita Chakravarty | Registered Nurse | 606 W Shiawassee St, Lansing, MI 48933-1032 | 2006-04-17 |
| 1528447422 | Sandra Youngs | Counselor | 606 W Shiawassee St, Lansing, MI 48933-1032 | 2015-05-26 |
| Find all providers in zip 48933 | ||||
| Taxonomy Code | 261QL0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Lithotripsy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013228436 | Genesis Testing and Therapy | Clinic/Center | 3960 Patient Care Way, Suite 113 Gt, Lansing, MI 48911-4275 | 2010-06-30 |
Please comment or provide details below to improve the information on GREAT LAKES LITHOTRIPSY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.