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CADILLAC SURGERY CENTER, LLC
NPI 1154208445
Surgery in Cadillac, MI

Active since August 19, 2025CLIA 23D2338300 · Waiver
7665 S US 131 HWY, CADILLAC, MI 49601(231) 876-7411 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cadillac Surgery Center, Llc NPPES

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

CADILLAC SURGERY CENTER, LLC (NPI 1154208445) is a healthcare organization registered as a surgery in Cadillac, Michigan and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists Peter Edward Marinoff, President/ceo South Reigon, as its authorized official.

NPPES Registry Identity

NPI1154208445
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameCADILLAC SURGERY CENTER, LLC
Location Address7665 S US 131 HWYCadillac, MI 49601
Mailing Address7665 S Us 131 HwyCadillac, MI 49601 · (231) 876-7411
Phone(231) 876-7411
Organization SubpartNo
Authorized OfficialPeter Edward MarinoffPresident/ceo South Reigon · (231) 352-2285
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 14, 2025
✔ NPI 1154208445 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.
7665 S US 131 HWY, Cadillac, MI 49601
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 23D2338300

Cadillac Surgery Center, LLC · Cadillac, MI
Active · expires Feb 8, 2028
CLIA Number23D2338300
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorKristopher W. Krannitz
Laboratory Phone(231) 876-0770
Laboratory LocationCadillac Surgery Center, LLC7665 Us Highway 131 S, Cadillac, MI 49601
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Cadillac Surgery Center, LLC's NPI number?

The NPI number for Cadillac Surgery Center, LLC is 1154208445. It was assigned to this organization in the NPPES registry on August 19, 2025.

Where is Cadillac Surgery Center, LLC located?

Cadillac Surgery Center, LLC is located at 7665 S Us 131 Hwy, Cadillac, MI 49601. The listed phone number is (231) 876-7411.

What is Cadillac Surgery Center, LLC's specialty?

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

Does Cadillac Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2338300) is associated with this NPI, valid through February 8, 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 Cadillac Surgery Center, LLC was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.