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MCLAREN MACOMB
NPI 1124148515
Surgery in Clinton Township, MI

Active since March 30, 2007CLIA Certified · 4 labs
36500 S GRATIOT AVE, SUITE 102, CLINTON TOWNSHIP, MI 48035(586) 790-9003(586) 493-3603 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mclaren Macomb NPPES

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

MCLAREN MACOMB (NPI 1124148515) is a healthcare organization registered as a surgery in Clinton Township, Michigan and active in the NPI registry since March 2007. The organization holds 4 active CLIA laboratory certificates and lists Thomas M Brisse, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124148515
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMCLAREN MACOMB
Location Address36500 S GRATIOT AVE, SUITE 102Clinton Township, MI 48035
Mailing Address401 S Ballenger HwyFlint, MI 48532-3638 · (810) 342-1000 · Fax (810) 342-1590
Phone(586) 790-9003
Fax(586) 493-3603
Organization SubpartNo
Authorized OfficialThomas M BrisseCeo · (586) 493-8083
Enumeration DateMarch 30, 2007
Last NPPES UpdateMay 23, 2018
✔ NPI 1124148515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
36500 S GRATIOT AVE, Clinton Township, MI 48035
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Other Identifiers 1

Other0E06298MI · Blue Cross Blue Shield

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 4

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 23D0878512

Mclaren Macomb · Clinton Township, MI
Active · expires Oct 16, 2026
CLIA Number23D0878512
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorBeth Wendt
Laboratory Phone(586) 790-9003
Laboratory LocationMclaren Macomb36500 Gratiot Suite 102 Multi Specialty Clinic, Clinton Township, MI 48035
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2110937

Mclaren Macomb Women's Health · Clinton Township, MI
Active · expires Aug 29, 2027
CLIA Number23D2110937
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorGarret J. Holcomb
Laboratory Phone(586) 792-5740
Laboratory LocationMclaren Macomb Women's Health36561 Harper, Clinton Township, MI 48035
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D0871990

Mclaren Macomb Womens Health - Mt Clemens · Clinton Township, MI
Active · expires Jun 8, 2027
CLIA Number23D0871990
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorGarret J. Holcomb
Laboratory Phone(586) 493-3740
Laboratory LocationMclaren Macomb Womens Health - Mt Clemens36500 Gratiot Avenue Suite 202, Clinton Township, MI 48035
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 23D0897362

Mclaren Macomb Medical Outreach Clinic · Clinton Township, MI
Active · expires Feb 1, 2027
CLIA Number23D0897362
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorRichard J. Chalmers
Laboratory Phone(586) 493-3640
Laboratory LocationMclaren Macomb Medical Outreach Clinic36500 Gratiot Ave Suite 102, Clinton Township, MI 48035
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 19

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

MCG PROFESSIONAL BILLING L.L.C.
Obstetrics & Gynecology
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 493-3740
MCLAREN MACOMB
Internal Medicine
36500 S GRATIOT AVE, SUITE 102
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 790-9003
MCLAREN MACOMB
Internal Medicine
36500 S GRATIOT AVE, STE. 102
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 790-9003
MCLAREN MACOMB
Family Medicine
36500 S GRATIOT AVE, STE. 202
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 493-3727
SHANNON N MCMANN DO
Internal Medicine
36500 S GRATIOT AVE, STE 102
CLINTON TWP, MI 48035
Macomb County (586) 790-9003
MCLAREN MACOMB
Neuromusculoskeletal Medicine & OMM
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 493-3727
MCLAREN MACOMB
Orthopaedic Surgery
36500 S GRATIOT AVE, SUITE 102
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 790-9003
DR. RICHARD JORDAN CHALMERS D.O.
Family Medicine
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 493-3727

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 1124148515. It was assigned to this organization in the NPPES registry on March 30, 2007.

Where is Mclaren Macomb located?

Mclaren Macomb is located at 36500 S Gratiot Ave Suite 102, Clinton Township, MI 48035. The listed phone number is (586) 790-9003.

What is Mclaren Macomb's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Mclaren Macomb hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.