Provider Demographics
NPI:1609767342
Name:ASSOCIATED SURGICAL CENTER OF DEARBORN LLC
Entity type:Organization
Organization Name:ASSOCIATED SURGICAL CENTER OF DEARBORN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:RICKI
Authorized Official - Middle Name:
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-202-9400
Mailing Address - Street 1:24420 FORD RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3233
Mailing Address - Country:US
Mailing Address - Phone:313-202-9400
Mailing Address - Fax:313-730-8196
Practice Address - Street 1:24420 FORD RD
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-3233
Practice Address - Country:US
Practice Address - Phone:313-202-9400
Practice Address - Fax:313-730-8196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty