# MICHIANA SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1942637301
- **Authorized official:** MR. AJIT V PAI M.D. (OWNER)
- **Authorized official phone:** (574) 855-2223

## Contact information

- **Practice address:** 3212 HICKORY RD, SUITE A, MISHAWAKA, IN 46545-8862
- **Practice address phone:** (574) 855-2223
- **Practice address fax:** (574) 251-0068
- **Mailing address:** 3212 HICKORY RD, SUITE A, MISHAWAKA, IN 46545-8862
- **Mailing address phone:** (574) 855-2223
- **Mailing address fax:** (574) 251-0068

## Taxonomy

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

## Other

- **Enumeration date:** 10/01/2013
- **Last updated:** 11/14/2013