Provider Demographics
NPI:1518299379
Name:AMERICAN HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:AMERICAN HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:S
Authorized Official - Last Name:MARCUS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-588-9700
Mailing Address - Street 1:1000 JOHN R RD
Mailing Address - Street 2:STE 250
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-5852
Mailing Address - Country:US
Mailing Address - Phone:248-588-9700
Mailing Address - Fax:248-588-2828
Practice Address - Street 1:1000 JOHN R RD
Practice Address - Street 2:STE 250
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-5852
Practice Address - Country:US
Practice Address - Phone:248-588-9700
Practice Address - Fax:248-588-2828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101013149332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site