| 262 Center LLC | |
|
26206 W 12 Mile Rd Ste 200 Southfield MI 48034-8500 | |
| (313) 344-0663 | |
| Not Available |
| Full Name | 262 Center LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 26206 W 12 Mile Rd Ste 200, Southfield, Michigan |
| Authorized Official Name and Position | Bachu Abraham (MEMBER) |
| Authorized Official Contact | 3133440663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 262 Center LLC Po Box 2705 Southfield MI 48037-2705 | 262 Center LLC 26206 W 12 Mile Rd Ste 200 Southfield MI 48034-8500 Ph: (313) 344-0663 |
| NPI Number | 1912628397 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912628397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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