Firestone Procedure Center LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Dearborn, MI
NPI 1609409929 · NPPES record last updated Feb 14, 2020
Key facts
- NPI
- 1609409929
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- FIRESTONE PROCEDURE CENTER LLC
- Practice address
- 4520 Firestone St Ste C
Dearborn, MI 48126-4602 - Phone
- (313) 528-1145
- NPI assigned
- Feb 14, 2020
- Organization subpart
- No
Authorized official
- Name
- Mohamed Tanana
- Title
- Owner
- Phone
- (313) 641-2222
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
4520 Firestone St Ste C
Dearborn, MI 48126-4602
Mailing address
4520 Firestone St Ste C
Dearborn, MI 48126-4602
Other providers in Dearborn, MI
- John H Finger
- John August Fink
- Ashleigh Kay Finn
- Anna G Finneran
- Firestone Medical Center PLLC
- First Care Solutions, LLC
- First Choice Medical Group PLLC
- First Choice Physical Therapy Services, PLLC
- First Choice Urgent Care PC
- First National Medical Supplies
All providers in Dearborn, MI · Ambulatory Surgical Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.