Organization Active NPI

McLaren Health Management Group

Doing business as McLaren Central Lab

  • Clinical Pathology/Laboratory Medicine Physician
  • Flint, MI
National Provider Identifier
1205264579
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
Legal business name
MCLAREN HEALTH MANAGEMENT GROUP
Doing business as
McLaren Central Lab
Practice address
4000 S Saginaw St
Flint, MI 48507-2604
Phone
(810) 396-5700
Fax
(810) 496-8814
NPI assigned
Oct 24, 2013
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven Loy
Title
VP/Cfo
Phone
(810) 496-8633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0105X Primary

Addresses

Primary practice location

4000 S Saginaw St
Flint, MI 48507-2604

Mailing address

1515 Cal Dr
Davison, MI 48423-9016
Phone (810) 496-8640

Other names 1

  • McLaren Central Lab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040617000043 MI Part B Supplier - Clinic/Group Practice 8628985215 Receives reassigned benefits from 45 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Flint, MI; Port Huron, MI
O20151214001983 MI Part B Supplier - Independent Clinical Laboratory 8628985215 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Flint, MI

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory

Locations

1454 W Center Rd
Ste 1
Essexville, MI 48732
Phone (989) 895-4570

1460 W Center Rd
Ste 1
Essexville, MI 48732
Phone (989) 895-4700

1460 W Center Rd
Ste 2
Essexville, MI 48732
Phone (989) 895-4700

4845 24th Ave
Fort Gratiot, MI 48059
Phone (810) 385-4114

2727 S Pennsylvania Ave
Rm S1003
Lansing, MI 48910
Phone (517) 975-2290

825 E Michigan Ave
Lansing, MI 48912
Phone (517) 346-4750

237 Davis Lake Rd
Lapeer, MI 48446
Phone (810) 667-0042

931 S Saginaw Rd
Midland, MI 48640
Phone (989) 423-1768

1000 Harrington St
Ste 106
Mount Clemens, MI 48043
Phone (586) 493-2800

501 S Mission St
Mt Pleasant, MI 48858

1320 Washington Ave
Port Huron, MI 48060

506 N Bradley Hwy
Rogers City, MI 49779
Phone (800) 342-7711

12900 Hall Rd
Sterling Heights, MI 48313
Phone (586) 323-5346

10003 Fremont Pike
Perrysburg, OH 43551
Phone (419) 872-8247

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1205264579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 CAL DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484239016",
            "telephone_number": "810-496-8640",
            "fax_number": "810-496-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072604",
            "telephone_number": "810-396-5700",
            "fax_number": "810-496-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN HEALTH MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "LOY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "810-496-8633"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLaren Central Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.