Organization

Botsford General Hospital

May also be knows as Botsford Outreach Lab

Clinical Pathology Physician in Farmington Hills, MI(View on Map)

Legal Business Name

Botsford General Hospital

Also Known As

Botsford Outreach Lab

NPI Number

1316983000

NPI Type

Organization

Enumeration Date

06/21/2006

Specialties

(Taxonomies)

Code

207ZC0006X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

26901 BEAUMONT BLVD
28050 GRAND RIVER AVE

City

Southfield
Farmington Hills

State

MI
MI

Postal Code

48033-3849
48336-5919

Country

US
US

Telephone Number

N/A
(248) 471-8000

Authorized Official

Name

Lee Odom

Title or Position

PRESIDENT SHARED SERVICES

Telephone Number

(947) 522-3326

Identifiers

Identifier

00276
5170228
230151
230151

Identifier State

MI
MI
MI
MI

Identifier Issuer

BLUE CROSS
Unknown
CARE CHOICES
HAP

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/18/2021

Provider Address