CADILLAC SURGERY CENTER, LLC
NPI 1154208445
Clinic/Center - Ambulatory Surgical in Cadillac, MI
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 an ambulatory surgical 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
Specialties & Licenses
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, MIFrequently 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 Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
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 October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.
# Cadillac Surgery Center, Llc · NPI 1154208445
Ambulatory Surgical organization in Cadillac, Michigan. Organization record, active in the CMS NPPES registry since August 19, 2025.
## Identity
- **NPI:** 1154208445 (Entity type: Organization)
- **Enumerated:** August 19, 2025
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Peter Marinoff, PRESIDENT/CEO SOUTH REIGON
## Practice location
- **Address:** 7665 S US 131 HWY, Cadillac, MI 49601
- **Phone:** (231) 876-7411
## Record status
- **NPPES last updated:** October 6, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154208445) · Data from the CMS NPPES public registry.