Provider Demographics
NPI:1497221584
Name:EXPEDIENT HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:EXPEDIENT HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMIAH
Authorized Official - Middle Name:N
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:313-320-9899
Mailing Address - Street 1:3038 GADWALL LN
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-8731
Mailing Address - Country:US
Mailing Address - Phone:313-320-9899
Mailing Address - Fax:
Practice Address - Street 1:1606 S HURON ST UNIT 97019
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-9663
Practice Address - Country:US
Practice Address - Phone:248-462-6761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-16
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty