GREAT LAKES SURGICAL CENTER, LLC
NPI 1265856231
Clinic/Center - Ambulatory Surgical in Southfield, MI

NPI Status: Active since February 12, 2014

Contact Information

26051 LAHSER RD
SOUTHFIELD, MI
ZIP 48033
Phone: (248) 223-9925

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 23D1036250
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 01-24-2027

About GREAT LAKES SURGICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for Great Lakes Surgical Center, Llc, a provider established in Southfield, Michigan operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1265856231 assigned on February 2014. The practitioner's primary taxonomy code is 261QA1903X with license number 1010000049 (MI). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Keith Metz Md (Medical Director)

NPI
1265856231
Provider Name
GREAT LAKES SURGICAL CENTER, LLC
Entity Type
Organization
Location Address
26051 LAHSER RD SOUTHFIELD, MI 48033
Location Phone
(248) 223-9925
Mailing Address
26051 LAHSER RD SOUTHFIELD, MI 48033
Mailing Phone
(248) 223-9925
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2014
Last Update Date
02-12-2014
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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
License No.
1010000049
License State
MI

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEITH METZ MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(248) 223-9925

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
23D1036250
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
January 25, 2025
Certificate Expiration Date
January 24, 2027
Laboratory Director
RICHARD E. HAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Great Lakes Surgical Center, Llc 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.

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NPI 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 1265856231, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 8 → 16 → 7 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 6 + 5 + 1 + 2 + 2 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1265856231.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265856231, enumerated as an "organization" on February 12, 2014.

The provider is located at 26051 LAHSER RD SOUTHFIELD, MI 48033 and the phone number is (248) 223-9925.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.