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MCLAREN MACOMB
NPI 1104878636
Family Medicine in Chesterfield, MI

Active since May 16, 2006CLIA 23D0861452 · Waiver
32743 23 MILE RD, CHESTERFIELD, MI 48047(586) 725-9600(586) 725-7170 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mclaren Macomb NPPES

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

MCLAREN MACOMB (NPI 1104878636) is a healthcare organization registered as a family medicine in Chesterfield, Michigan and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Thomas M Brisse, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104878636
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMCLAREN MACOMB
Location Address32743 23 MILE RDChesterfield, MI 48047
Mailing Address32743 23 Mile RdChesterfield, MI 48047-1985 · (586) 725-9600 · Fax (586) 725-7170
Phone(586) 725-9600
Fax(586) 725-7170
Organization SubpartNo
Authorized OfficialThomas M BrisseCeo · (586) 493-8083
Enumeration DateMay 16, 2006
Last NPPES UpdateMay 23, 2018
✔ NPI 1104878636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
32743 23 MILE RD, Chesterfield, MI 48047
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Other Identifiers 8

Medicaid4849193MI
Medicaid4248827MI
Medicaid4283020MI
Medicaid4463904MI
Medicaid4853249MI
Medicaid4344028MI
Medicaid3493533MI
Medicaid4414033MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 23D0861452

Mclaren Macomb New Baltimore Womens Health · Chesterfield, MI
Active · expires Apr 30, 2028
CLIA Number23D0861452
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorStephen Olson
Laboratory Phone(586) 725-4604
Laboratory LocationMclaren Macomb New Baltimore Womens Health51086 Fairchild Road Unit A, Chesterfield, MI 48051
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARLENE M JACKSON LPN
Licensed Practical Nurse
32743 23 MILE RD
CHESTERFIELD, MI 48047
Macomb County (586) 716-1047
MRS. SANDRA DELVILLANO-MARCHI LMSW
Social Worker (Clinical)
32743 23 MILE RD
CHESTERFIELD, MI 48047
Macomb County (586) 716-0980
NATALIE MARIE KERRY RN
Registered Nurse
32743 23 MILE RD
CHESTERFIELD, MI 48047
Macomb County (586) 716-1047
MS. JULIE ANN MILLER LPC
Counselor (Mental Health)
32743 23 MILE RD
CHESTERFIELD, MI 48047
Macomb County (586) 716-0980
JANET DORAN LPN
Licensed Practical Nurse
32743 23 MILE RD
CHESTERFIELD, MI 48047
Macomb County (586) 716-0104
CHRISTINE PARDO LPN
Licensed Practical Nurse
32743 23 MILE RD
CHESTERFIELD, MI 48047
Macomb County (586) 716-1047
DR. JONATHAN M KING DPM
Podiatrist (Foot & Ankle Surgery)
32743 23 MILE RD, STE 210
CHESTERFIELD, MI 48047
Macomb County (586) 725-3444
MATTHEW JOSEPH FREEMAN LLPC
Counselor (Professional)
32743 23 MILE RD
CHESTERFIELD, MI 48047
Macomb County (586) 716-0980

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 Mclaren Macomb's NPI number?

The NPI number for Mclaren Macomb is 1104878636. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Mclaren Macomb located?

Mclaren Macomb is located at 32743 23 Mile Rd, Chesterfield, MI 48047. The listed phone number is (586) 725-9600.

What is Mclaren Macomb's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mclaren Macomb hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0861452) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mclaren Macomb was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.