# GENESIS ASC PARTNERS LLC

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

## Provider details

- **NPI number:** 1942397344
- **Authorized official:** JENETHA D MORAN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (972) 763-3893

## Contact information

- **Practice address:** 3400 E JOLLY RD, LANSING, MI 48910-8542
- **Practice address phone:** (517) 708-3200
- **Practice address fax:** (517) 272-1685
- **Mailing address:** 3400 E JOLLY RD, LANSING, MI 48910-8542
- **Mailing address phone:** (517) 708-3200
- **Mailing address fax:** (517) 272-1685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 336817 | MI | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 03/22/2018
