Provider Demographics
NPI:1255877445
Name:UNIFIED MEDICAL SERVICES P.C.
Entity type:Organization
Organization Name:UNIFIED MEDICAL SERVICES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SVINARICH
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:810-875-9168
Mailing Address - Street 1:PO BOX 222
Mailing Address - Street 2:
Mailing Address - City:GENESEE
Mailing Address - State:MI
Mailing Address - Zip Code:48437-0222
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:810-958-1185
Practice Address - Street 1:7407 N GENESEE RD
Practice Address - Street 2:
Practice Address - City:GENESEE
Practice Address - State:MI
Practice Address - Zip Code:48437-7722
Practice Address - Country:US
Practice Address - Phone:810-875-9168
Practice Address - Fax:810-958-1185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601003786363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI11-5-25-1287-0OtherBCBSM
MIP06630004Medicare PIN