Provider Demographics
NPI:1982587465
Name:NEXT LEVEL EXPERIENCE
Entity type:Organization
Organization Name:NEXT LEVEL EXPERIENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:DASUQI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-964-8192
Mailing Address - Street 1:2228 N MORSON ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-3457
Mailing Address - Country:US
Mailing Address - Phone:989-964-8192
Mailing Address - Fax:
Practice Address - Street 1:2040 W CARPENTER RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48505-1908
Practice Address - Country:US
Practice Address - Phone:810-787-7730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health