Organization Active NPI

Renova Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Warren, MI
National Provider Identifier
1801740261
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
RENOVA SURGICAL CENTER LLC
Practice address
2243 E 12 Mile Rd Ste B
Warren, MI 48092-5644
Phone
(586) 573-8100
NPI assigned
Feb 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Jessica Sorsby Schlembach
Title
VP of Operations
Phone
(636) 980-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2243 E 12 Mile Rd Ste B
Warren, MI 48092-5644

Mailing address

2243 E 12 Mile Rd Ste B
Warren, MI 48092-5644

National Provider Directory

National Provider Directory

Locations

2243 E 12 Mile Rd
Ste B
Warren, MI 48092
Phone (586) 573-8100

NPI Registry JSON

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1801740261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 E 12 MILE RD STE B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 E 12 MILE RD STE B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925644",
            "telephone_number": "586-573-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVA SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "SCHLEMBACH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "SORSBY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "636-980-6500"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.