Organization Active NPI

ASC-TCG, LLC

  • Ambulatory Surgical Clinic/Center
  • Clinton Township, MI
National Provider Identifier
1407954365
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ASC-TCG, LLC
Doing business as
Tri-County Center for Endoscopy & Surgery
Practice address
37399 Garfield Road
Suite 100
Clinton Township, MI 48036
Phone
(586) 228-5300
Fax
(586) 228-5366
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Justine B Corday
Title
Administrator
Phone
(312) 329-1884

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 506850 MI
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

37399 Garfield Road
Suite 100
Clinton Township, MI 48036

Mailing address

37399 Garfield Road
Suite 100
Clinton Township, MI 48036
Phone (586) 498-9440

Other names 1

  • Tri-County Center for Endoscopy & Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040212000225 MI Part B Supplier - Ambulatory Surgical Center 3274427927 Practice locations: Clinton Township, MI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
ASC TCG LLCCCN 23C0001048
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1015731ASC TCG LLC37399 Garfield Road Suite 100, Clinton Township, MI 48036Certificate of waiverAug 11, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://d4f6f003-937f-42bb-b631-506a99cb0260.gastro.prod.fhir.ema-api.com/fhir/r4/

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1407954365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD ROAD",
            "address_2": "SUITE 100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-498-9440",
            "fax_number": "586-498-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD ROAD",
            "address_2": "SUITE 100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-228-5300",
            "fax_number": "586-228-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASC-TCG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "CORDAY",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "312-329-1884",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "506850",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-County Center for Endoscopy & Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.