Active NPI
McLaren Flint
- Clinical Medical Laboratory
- Flint, MI
National Provider Identifier
1841409059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 23D0374006
- Legal business name
- MCLAREN FLINT
- Practice address
- 401 S Ballenger Hwy
Flint, MI 48532 - Phone
- (810) 342-2000
- NPI assigned
- May 22, 2007
- Last updated
- Aug 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fred Korte
- Title
- Cfo
- Phone
- (810) 342-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 23D0374006 | MI | Primary |
Addresses
Primary practice location
401 S Ballenger Hwy
Flint, MI 48532
Mailing address
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 690B515100 | Other | MI | BLUE SHIELD PIN NUMBER |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0374006 | McLaren - Flint | Accreditation | Jan 2, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- McLaren OB GYN Associat
Other organizations with this tax ID 17
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- Psychiatric Hospital Unit
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- Emergency Medicine Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533772800000",
"number": "1841409059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485323638",
"telephone_number": "810-342-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "48532",
"telephone_number": "810-342-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCLAREN FLINT",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2018-08-09",
"status": "A",
"authorized_official_last_name": "KORTE",
"authorized_official_first_name": "FRED",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "810-342-2000"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MI",
"license": "23D0374006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PIN NUMBER",
"identifier": "690B515100",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.