Union Lake Medical Center PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

RD060871 Issued in MI

Legal business name

UNION LAKE MEDICAL CENTER PC

Practice address

1990 Union Lake Rd Ste 100
Commerce Township, MI 48382-2200

Phone

(248) 363-7109

Fax

(248) 363-7211

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rajat Daniel, M.D.

Title

Owner

Phone

(248) 363-7109

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801926738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 UNION LAKE RD STE 100",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483822200",
            "telephone_number": "248-363-7109",
            "fax_number": "248-363-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 UNION LAKE RD STE 100",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483822200",
            "telephone_number": "248-363-7109",
            "fax_number": "248-363-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION LAKE MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "RAJAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-363-7109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "RD060871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3245750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.