# MICHIGAN ENDOSCOPY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629075106
- **Authorized official:** CRISTIN TRAHEY (ADMINISTRATOR)
- **Authorized official phone:** (248) 865-6555

## Contact information

- **Practice address:** 30055 NORTHWESTERN HWY, SUITE L-60, FARMINGTON HILLS, MI 48334-3230
- **Practice address phone:** (248) 865-6555
- **Practice address fax:** (248) 865-6554
- **Mailing address:** 30055 NORTHWESTERN HWY STE L-60, FARMINGTON HILLS, MI 48334-3274
- **Mailing address phone:** (248) 865-6555
- **Mailing address fax:** (248) 865-6554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 11/04/2025