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MCLAREN ASC OF FLINT LLC NPI 1124142781


NPI Information

NPI: 1124142781
Provider Name: MCLAREN ASC OF FLINT, LLC

Doing Business As: MID-MICHIGAN SURGERY & ENDOSCOPY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 23D1070418

Address:
501 SOUTH BALLENGER HIGHWAY
FLINT, MI
ZIP 48532
Phone: (810) 768-2044
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MCLAREN ASC OF FLINT, LLC is an ambulatory surgical clinic center in Flint, MI. MCLAREN ASC OF FLINT, LLC NPI is 1124142781. The provider is registered as an organization entity type.
The provider Is Doing Business As Mid-michigan Surgery & Endoscopy Center.

The provider's business location address is:

501 SOUTH BALLENGER HIGHWAY
FLINT, MI
ZIP 48532-641
Phone: (810) 768-2044

The provider's authorized official is Katherine L. Reed .
The authorized official title is Officer, Authorized Official, Medic and has the following contact phone number (972) 763-3859.

The CLIA number assigned to this NPI record is 23D1070418 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 3/17/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
123C0001089MEDICARE OSCAR/CERTIFICATIONMICHIGAN
2256829MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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