Provider Demographics
NPI:1598189342
Name:MEI SURGERY CENTER LLC
Entity Type:Organization
Organization Name:MEI SURGERY CENTER LLC
Other - Org Name:MICHIGAN EYE SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:JUSTINE
Authorized Official - Middle Name:B
Authorized Official - Last Name:CORDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-794-7730
Mailing Address - Street 1:4495 TOWN CENTER PARKWAY
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532
Mailing Address - Country:US
Mailing Address - Phone:810-733-7111
Mailing Address - Fax:810-733-7141
Practice Address - Street 1:4495 TOWN CENTER PARKWAY
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532
Practice Address - Country:US
Practice Address - Phone:810-733-7111
Practice Address - Fax:810-733-7141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJD051789261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical