Provider Demographics
NPI:1457709289
Name:GENESYS SURGERY CENTER LLC
Entity Type:Organization
Organization Name:GENESYS SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:PRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-439-6314
Mailing Address - Street 1:35105 WARREN RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-5571
Mailing Address - Country:US
Mailing Address - Phone:734-351-5272
Mailing Address - Fax:
Practice Address - Street 1:35105 WARREN RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-5571
Practice Address - Country:US
Practice Address - Phone:734-351-5272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical