Genesis Surgery Center

LBN: Genesis Surgery Center
Genesis Surgery Center is an health care organization with primary practice located at 3400 E Jolly Rd , Lansing MI 48910-8542. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Genesis Surgery Center can be contacted via phone (517) 272-1063, or through Destrisac, David via phone (517) 272-1063.

Contact Information

Primary practice address
3400 E Jolly Rd Lansing MI 48910-8542
Phone: (517) 272-1063
Fax: (517) 272-1685
Website:
Map and Directions
Authorized official contact:
Name: Destrisac, David Doctor of Medicine (MD)
Phone: (517) 272-1063

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 336817 Michigan

Profile Details

NPI number 1578530630
LBN Legal business name Genesis Surgery Center
DBA Doing business as
Authorized official Destrisac, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2006
Last updated Mar 13th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578530630 NPPES
Michigan Other 0C37001 BCBS-2ND
Michigan Other 40369 BCBS-2ND

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