Genesis Surgery Center
Genesis Surgery Center is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Lansing, MI, holding Type 2 (organization) NPI 1578530630 since 2006. The authorized official on file is David Destrisac, Medical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1578530630 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Genesis Surgery Center |
| Practice address | 3400 E JOLLY RD, Lansing, MI, 48910 |
| Phone | 5172721063 |
| Fax | 5172721685 |
| Enumeration date | 2006-03-07 |
| Last updated in NPPES | 2008-03-13 |
Authorized official
| Name | David Destrisac |
|---|---|
| Title | Medical Director |
| Phone | 5172721063 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | 336817 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0C37001 | Other | MI | BCBS-2ND |
| 40369 | Other | MI | BLUE CROSS BLUE SHIELD |
Copy-ready billing details
Provider: Genesis Surgery Center NPI: 1578530630 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 3400 E JOLLY RD, Lansing, MI, 48910
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1942397344 | Genesis Asc Partners LLC | Organization | Ambulatory Surgical Clinic/Center | Lansing, MI |
| 1285592162 | Emma Mandouh | Individual | General Practice Registered Nurse | Lansing, MI |
Verify this record
Cross-check NPI 1578530630 against the authoritative CMS record: view Genesis Surgery Center on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Genesis Surgery Center?
Who is the authorized official for Genesis Surgery Center?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-03-13.