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)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