# LIVONIA OUTPATIENT SURGERY CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1639476377
- **Authorized official:** CANDICE B DAVIS (CHIEF REVENUE CYCLE OFFICER)
- **Authorized official phone:** (916) 990-7590

## Contact information

- **Practice address:** 33400 6 MILE RD, SUITE B, LIVONIA, MI 48152-3143
- **Practice address phone:** (810) 623-1482
- **Mailing address:** 33400 6 MILE RD, SUITE B, LIVONIA, MI 48152-3143
- **Mailing address phone:** (347) 452-7111
- **Mailing address fax:** (734) 452-7121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/15/2011
- **Last updated:** 10/01/2026