PROACTIVE MD MI PLLC
NPI 1255106498
Clinic/Center - Primary Care in Bruce Twp, MI
About Proactive Md Mi Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROACTIVE MD MI PLLC (NPI 1255106498), doing business as Proactive Md-l&l Health Center, is a healthcare organization registered as a primary care in Bruce Twp, Michigan and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Mark Allen Kemble, Chief Medical Officer, 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 23D2298158
Proactive MD L&l Health Center · Romeo, MIOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRUCE TWP, MI 48065
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 Proactive MD Mi PLLC's NPI number?
The NPI number for Proactive MD Mi PLLC is 1255106498. It was assigned to this organization in the NPPES registry on November 17, 2023. The provider is doing business as Proactive MD-L&L Health Center.
Where is Proactive MD Mi PLLC located?
Proactive MD Mi PLLC is located at 164 Mclean, Bruce Twp, MI 48065. The listed phone number is (864) 501-0751.
What is Proactive MD Mi PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Proactive MD Mi PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2298158) is associated with this NPI, valid through January 29, 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 Proactive MD Mi PLLC was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 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.
# Proactive Md Mi Pllc · NPI 1255106498
Primary Care organization in Bruce Twp, Michigan. Organization record, active in the CMS NPPES registry since November 17, 2023.
## Identity
- **NPI:** 1255106498 (Entity type: Organization)
- **Enumerated:** November 17, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Proactive MD-L&L Health Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Mark Kemble, CHIEF MEDICAL OFFICER
## Practice location
- **Address:** 164 MCLEAN, Bruce Twp, MI 48065-4919
- **Phone:** (864) 501-0751
## Record status
- **NPPES last updated:** June 29, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255106498) · Data from the CMS NPPES public registry.