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Great Lakes Surgical Center LLC

Ambulatory Surgical Clinic/Center in Southfield, MI · enumerated 2006 · authorized official Keith Metz, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568420388

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Surgical Center LLC
Practice address 26051 Lahser Rd, Southfield, MI, 48034
Phone (248) 223-9925
Fax (248) 223-9957
Enumeration date May 2, 2006
Last updated in NPPES Apr 20, 2008

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 261QA1903X (MI) Primary

Authorized official

Name Keith Metz
Title Medical Director
Phone (248) 223-9925

Other identifiers

Identifier Type State Issuer
490F328640 Other MI BLUE CROSS SECONDARY
17228 Other MI MCARE
40332 Other MI BLUE CROSS PRIMARY

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Great Lakes Surgical Center LLC?
Great Lakes Surgical Center LLC is registered in NPPES as a Ambulatory Surgical Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-20.