Great Lakes Ambulatory Surgery Center

LBN: Great Lakes Ambulatory Surgery Center
Great Lakes Ambulatory Surgery Center is an health care organization with primary practice located at 9002 Mentor Ave Ste B , Mentor OH 44060-6302. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Great Lakes Ambulatory Surgery Center can be contacted via phone (440) 283-0244, or through Mikhail, Emad Azmy via phone (440) 306-2358.

Contact Information

Primary practice address
9002 Mentor Ave Ste B Mentor OH 44060-6302
Phone: (440) 283-0244
Fax: (440) 283-0247
Website:
Map and Directions
Authorized official contact:
Name: Mikhail, Emad Azmy Doctor of Medicine (MD)
Phone: (440) 306-2358

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 35-075570 Ohio

Profile Details

NPI number 1023498219
LBN Legal business name Great Lakes Ambulatory Surgery Center
DBA Doing business as
Authorized official Mikhail, Emad Azmy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 3rd, 2015
Last updated Jun 4th, 2015 - about 11 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 1023498219 NPPES
Ohio MEDICAID 2124534

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