MICHIANA ENDOSCOPY CENTER
NPI 1134281546
Clinic/Center - Ambulatory Surgical in South Bend, IN
NPI Status: Active since December 14, 2006
Contact Information
53830 GENERATIONS DR
SOUTH BEND, IN
ZIP 46635
Phone: (574) 271-0839
NPPES record last updated: January 9, 2008. Verified against the NPPES registry weekly; last sync: July 12, 2026.
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 15D0929273
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 06-09-2027
About MICHIANA ENDOSCOPY CENTER
This page provides the complete NPI Profile along with additional information for Michiana Endoscopy Center, a provider established in South Bend, Indiana operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1134281546 assigned on December 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's is doing business as Michiana Endoscopy Center. The authorized official of this NPI record is Mr. Ken P. Mcdonald (Chief Manager Of Llc)
- NPI
- 1134281546
- Provider Legal Name
- SOUTH BEND IN ENDOSCOPY ASC LLC
- Other Organization Name
- MICHIANA ENDOSCOPY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 53830 GENERATIONS DR SOUTH BEND, IN 46635
- Location Phone
- (574) 271-0839
- Mailing Address
- 53830 GENERATIONS DR SOUTH BEND, IN 46635
- Mailing Phone
- (574) 271-0839
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-14-2006
- Last Update Date
- 01-09-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D0929273
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- June 10, 2025
- Certificate Expiration Date
- June 09, 2027
- Laboratory Director
- JOHN G. MATHIS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Michiana Endoscopy Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MICHIANA ENDOSCOPY CENTER
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1134281546, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134281546, enumerated as an "organization" on December 14, 2006.
The provider is located at 53830 GENERATIONS DR SOUTH BEND, IN 46635 and the phone number is (574) 271-0839.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
