GREAT LAKES AMBULATORY SURGERY CENTER
NPI 1023498219
Clinic/Center - Ambulatory Surgical in Mentor, OH

Q: What is Great Lakes Ambulatory Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since June 03, 2015CLIA 36D2094965 · Waiver

9002 MENTOR AVE STE B, MENTOR, OH 44060(440) 283-0244(440) 283-0247 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Great Lakes Ambulatory Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES AMBULATORY SURGERY CENTER (NPI 1023498219) is a healthcare organization registered as an ambulatory surgical in Mentor, Ohio and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through April 27, 2027 and lists Emad Azmy Mikhail, Owner, as its authorized official.

NPPES Registry Identity

NPI1023498219

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameGREAT LAKES AMBULATORY SURGERY CENTER

Location Address9002 MENTOR AVE STE BMentor, OH 44060-6302

Mailing Address9002 Mentor AveMentor, OH 44060-6302 · (440) 306-2358 · Fax (440) 306-2359

Phone(440) 283-0244

Fax(440) 283-0247

Organization SubpartYesParent: Great Lakes Pain Management

Authorized OfficialEmad Azmy MikhailOwner · (440) 306-2358

Enumeration DateJune 3, 2015

Last NPPES UpdateJanuary 13, 2026

NPPES CertifiedJanuary 13, 2026

✔ NPI 1023498219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in OH · 35-075570

9002 MENTOR AVE STE B, Mentor, OH 44060

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Other Identifiers 1

Medicaid2124534OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2094965

Great Lakes Ambulatory Surgery Center · Mentor, OH

Active · expires Apr 27, 2027

CLIA Number36D2094965

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateApril 28, 2025

Certificate Expiration DateApril 27, 2027

Laboratory DirectorEmad A. Mikhail

Laboratory Phone(440) 306-2358

Laboratory LocationGreat Lakes Ambulatory Surgery Center9002 Mentor Ave Suite B, Mentor, OH 44060

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

117 services39 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

80 services28 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

51 services41 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

38 services18 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

35 services20 patients

Insertion of spinal neurostimulator electrode array through skin 63650

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

31 services11 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Ambulatory Surgery Center's NPI number?

The NPI number for Great Lakes Ambulatory Surgery Center is 1023498219. It was assigned to this organization in the NPPES registry on June 3, 2015.

Where is Great Lakes Ambulatory Surgery Center located?

Great Lakes Ambulatory Surgery Center is located at 9002 Mentor Ave Ste B, Mentor, OH 44060. The listed phone number is (440) 283-0244.

What is Great Lakes Ambulatory Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Great Lakes Ambulatory Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2094965) is associated with this NPI, valid through April 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Great Lakes Ambulatory Surgery Center accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Great Lakes Ambulatory Surgery Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Ambulatory Surgery Center was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.