LAKESHORE SURGERY CENTER, LLP
NPI 1134586852
Clinic/Center - Ambulatory Surgical in Fort Gratiot, MI
About Lakeshore Surgery Center, Llp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESHORE SURGERY CENTER, LLP (NPI 1134586852) is a healthcare organization registered as an ambulatory surgical in Fort Gratiot, Michigan and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through November 17, 2027 and lists Christopher Doan, Chief Compliance Counsel, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 23D1019374
Lakeshore Surgery Center LLP · Fort Gratiot, MIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT GRATIOT, MI 48059
FORT GRATIOT, MI 48059
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 Prime Healthcare Services-Port Huron, LLC's NPI number?
The NPI number for Prime Healthcare Services-Port Huron, LLC is 1134586852. It was assigned to this organization in the NPPES registry on January 26, 2016. The provider is doing business as Lakeshore Surgery Center, LLP.
Where is Prime Healthcare Services-Port Huron, LLC located?
Prime Healthcare Services-Port Huron, LLC is located at 4190 24th Ave, Fort Gratiot, MI 48059. The listed phone number is (810) 989-7700.
What is Prime Healthcare Services-Port Huron, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Prime Healthcare Services-Port Huron, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D1019374) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Prime Healthcare Services-Port Huron, LLC was last updated on January 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Lakeshore Surgery Center, Llp · NPI 1134586852
Ambulatory Surgical organization in Fort Gratiot, Michigan. Organization record, active in the CMS NPPES registry since January 26, 2016.
## Identity
- **NPI:** 1134586852 (Entity type: Organization)
- **Enumerated:** January 26, 2016
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Legal business name:** Prime Healthcare Services-Port Huron, Llc
- **Organization subpart:** Yes (part of Prime Healthcare Services-Port Huron, Llc)
- **Authorized official:** Christopher Doan, CHIEF COMPLIANCE COUNSEL
## Practice location
- **Address:** 4190 24TH AVE, Fort Gratiot, MI 48059-3882
- **Phone:** (810) 989-7700
## Record status
- **NPPES last updated:** January 26, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1134586852) · Data from the CMS NPPES public registry.