# COOLIDGE ROYAL OAK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coolidge Royal Oak, LLC, Apex Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215813399
- **Authorized official:** SAMANTHA LARSON (VP OF OPERATIONS)
- **Authorized official phone:** (248) 955-4950

## Contact information

- **Practice address:** 5140 COOLIDGE HWY STE 200, ROYAL OAK, MI 48073-1030
- **Practice address phone:** (586) 260-4665
- **Mailing address:** 5140 COOLIDGE HWY STE 200, ROYAL OAK, MI 48073-1030
- **Mailing address phone:** (248) 955-4950
- **Mailing address fax:** (248) 955-4951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2025
- **Last updated:** 06/04/2026