Active NPI
ASC-TCG, LLC
- Ambulatory Surgical Clinic/Center
- Clinton Township, MI
National Provider Identifier
1407954365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1015731 | ASC TCG LLC | Certificate of waiver | Aug 11, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.