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1609701275 NPI number — DIALYSIS ACCESS CARE OF SOUTHEAST MICHIGAN, LLC

NPI Number: 1609701275
Health Care Provider/Practitioner: DIALYSIS ACCESS CARE OF SOUTHEAST MICHIGAN, LLC

Information about “1609701275” NPI (DIALYSIS ACCESS CARE OF SOUTHEAST MICHIGAN, LLC) exists in 1609701275 in HTML format HTML  |  1609701275 in plain Text format TXT  |  1609701275 in PDF (Portable Document Format) PDF  |  1609701275 in an XML format XML  formats.

NPI Number : 1609701275 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609701275",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DIALYSIS ACCESS CARE OF SOUTHEAST MICHIGAN, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5333 MCAULEY DR RM 4003",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YPSILANTI",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48197-1099",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-715-1706",
    "MailingAddressFaxNumber": "734-863-3602",
    "FirstLinePracticeLocationAddress": "2890 WASHTENAW RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YPSILANTI",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48197-1507",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "734-528-9433",
    "PracticeLocationAddressFaxNumber": "734-582-9455",
    "EnumerationDate": "06/16/2026",
    "LastUpdateDate": "06/16/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "THOMPSON",
    "AuthorizedOfficialFirstName": "TABETHA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRACTICE ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "734-715-1706",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA1903X",
        "TaxonomyName": "Ambulatory Surgical Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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