OrganizationActive
Michigan Ambulatory Surgical Center, LLC
NPI 1790109445 · Ambulatory Surgical Clinic/Center · Oak Park, MI
Provider details
- NPI number
- 1790109445
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Justine Corday, Administrator(248) 206-2990
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22000 Greenfield Rd
Oak Park, MI 48237-2500
Phone: (248) 206-2990
Fax: (248) 206-2991
Street-level locationGet directions
Mailing address
22000 Greenfield Rd
Oak Park, MI 48237-2500
Other names (DBA / former)
- Doing business as
- Specialty Surgical Center
- Doing business as
- Specialty Surgical Center
Registry dates
- Enumerated
- 2014-02-14
- Last updated
- 2020-04-14
- Certified
- 2020-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.