Michigan Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MICHIGAN ENDOSCOPY CENTER LLC

Practice address

30055 Northwestern Hwy
Suite L-60
Farmington Hills, MI 48334-3230

Phone

(248) 865-6555

Fax

(248) 865-6554

NPI assigned

Jun 30, 2005

Last updated

Nov 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cristin Trahey

Title

Administrator

Phone

(248) 865-6555

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Michigan Endoscopy Center LLCCCN 23C0001045

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

• Clarkston ASC Partners LLC

  dba Clarkston Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Clarkston, MI
  • NPI 1528219474

  Member Of

  NPD member
• Michigan Endoscopy Center at Providence Park

  • Ambulatory Surgical Clinic/Center
  • Novi, MI
  • NPI 1306283957

  Member Of

  NPD member
• Northwestern Services, LLC

  • Anesthesiology Physician
  • Farmington Hills, MI
  • NPI 1083883649

  Member Of

  NPD member

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1629075106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE L-60",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343274",
            "telephone_number": "248-865-6555",
            "fax_number": "248-865-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY",
            "address_2": "SUITE L-60",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343230",
            "telephone_number": "248-865-6555",
            "fax_number": "248-865-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "TRAHEY",
        "authorized_official_first_name": "CRISTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-865-6555"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF NEED",
            "identifier": "010473",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI",
            "identifier": "40373",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENESE",
            "identifier": "636910",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAHC ACCREDITATION",
            "identifier": "23389",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE",
            "identifier": "23D1006055",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ASC NUMBER",
            "identifier": "23-C0001045",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Academic Hospitalist Group
• Michigan Comprehensive Medic Al Evaluations
• Michigan Dental Outreach PC
• Michigan Ear Institute PLLC
• Michigan Ear Institute PLLC
• Michigan Family Therapy, PLLC
• Michigan Health Practice PLLC
• Michigan Healthcare Professionals
• Michigan Healthcare Professionals PC
• Michigan Healthcare Professionals PC

• Ambulatory Surgical Clinic/Center in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.