Provider Demographics
NPI:1205977683
Name:LORDAY SYSTEMS, INC.
Entity type:Organization
Organization Name:LORDAY SYSTEMS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:MAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:810-750-2626
Mailing Address - Street 1:18010 SILVER PKWY
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-3421
Mailing Address - Country:US
Mailing Address - Phone:810-750-2626
Mailing Address - Fax:810-750-2772
Practice Address - Street 1:18010 SILVER PKWY
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-3421
Practice Address - Country:US
Practice Address - Phone:810-750-2626
Practice Address - Fax:810-750-2772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501000547237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI540B50418OtherBLUE CROSS BLUESHIELD
MI4987510Medicaid
MI540B50418OtherHEALTH PLUS OF MI
MI540B504180OtherBLUE CROSS BLUE SHIELD OF MICHIGAN