Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Executive Ambulatory Surgical Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1386056356

Executive Ambulatory Surgical Center, LLC is an Ambulatory Surgical Clinic/Center in Dearborn, Michigan. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17000 Executive Plaza Dr Ste 301
Dearborn, MI 48126-2793
Phone: (313) 408-6613
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1386056356
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samer Suleiman — Manager · (313) 789-5579
NPI enumeratedMay 27, 2014
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address17000 Executive Plaza Dr Ste 301, Dearborn, MI 48126-2793

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