Organization
USC, LLC
Active
Other names
UnaSource Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY M CULLEN (BOARD MANAGER)
(313) 982-3010
Entity
Organization
Contact information
Practice address
4550 INVESTMENT DR, SUITE 100, TROY, MI 48098-6363
(248) 265-4600
(248) 265-4645
Mailing address
4550 INVESTMENT DR, SUITE 100, TROY, MI 48098-6363
(248) 265-4600
(248) 265-4645
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
636913
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00214119
MEDICARE RR
MI
Enumeration date
06/06/2006
Last updated
10/20/2009
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