NPIMap

Organization Active NPI

McLaren Health Management Group

Doing business as McLaren Medical Laboratory

  • Clinical Medical Laboratory
  • Flint, MI
National Provider Identifier
1477938686
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MCLAREN HEALTH MANAGEMENT GROUP
Doing business as
McLaren Medical Laboratory
Practice address
4000 S Saginaw St
Flint, MI 48507-2604
Phone
(810) 396-5747
Fax
(810) 424-2504
NPI assigned
Jul 29, 2015
Last updated
Nov 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4000 S Saginaw St
Flint, MI 48507-2604

Mailing address

4000 S Saginaw St
Flint, MI 48507-2604
Phone (810) 396-5747

Other names 2

  • McLaren Medical Laboratory Doing business as
  • McLaren Central Medical Laboratory Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151214001983 MI Part B Supplier - Independent Clinical Laboratory 8628985215 1 other NPI on this enrollment
Practice locations: Flint, MI

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2027105MC Laren Central Medical Laboratory4000 S Saginaw Street, Flint, MI 48507AccreditationMay 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Visiting Nurse Services of Michigan21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Practitioners & affiliated clinicians

Practitioners 30

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 30

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1477938686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072604",
            "telephone_number": "810-396-5747",
            "fax_number": "810-424-2504"
        },
        {
            "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": "810-396-5747",
            "fax_number": "810-424-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN HEALTH MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "LOY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "VP - CFO",
        "authorized_official_telephone_number": "810-496-8633"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLaren Medical Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLaren Central Medical Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.