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

Active since February 12, 2014CLIA 23D1036250 · Waiver
26051 LAHSER RD, SOUTHFIELD, MI 48033(248) 223-9925 Get Directions Write a Review

NPPES record last updated: February 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Surgical Center, Llc NPPES

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

GREAT LAKES SURGICAL CENTER, LLC (NPI 1265856231) is a healthcare organization registered as an ambulatory surgical in Southfield, Michigan and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Keith Metz, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1265856231
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGREAT LAKES SURGICAL CENTER, LLC
Location Address26051 LAHSER RDSouthfield, MI 48033-2601
Mailing Address26051 Lahser RdSouthfield, MI 48033-2601 · (248) 223-9925
Organization SubpartNo
Authorized OfficialKeith MetzMedical Director · (248) 223-9925
Enumeration DateFebruary 12, 2014
NPI 1265856231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in MI · 1010000049
26051 LAHSER RD, Southfield, MI 48033

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 23D1036250

Great Lakes Surgical Center LLC · Southfield, MI
Active · expires Jan 24, 2027
CLIA Number23D1036250
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorRichard E. Han
Laboratory Phone(248) 223-9925
Laboratory LocationGreat Lakes Surgical Center LLC26051 Lahser Road, Southfield, MI 48033
CLIA data matches this NPI record on: Address Name Phone
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 Great Lakes Surgical Center, LLC's NPI number?

The NPI number for Great Lakes Surgical Center, LLC is 1265856231. It was assigned to this organization in the NPPES registry on February 12, 2014.

Where is Great Lakes Surgical Center, LLC located?

Great Lakes Surgical Center, LLC is located at 26051 Lahser Rd, Southfield, MI 48033. The listed phone number is (248) 223-9925.

What is Great Lakes Surgical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Great Lakes Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1036250) is associated with this NPI, valid through January 24, 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 Great Lakes Surgical Center, LLC was last updated on February 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.