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MED SPORTS VANTAGE PLLC
NPI 1326587114
Clinic/Center - Primary Care in Brighton, MI

Active since February 14, 2017CLIA 23D2135943 · Waiver
210 S EAST ST STE 2, BRIGHTON, MI 48116(810) 626-3036(810) 202-1130 Get Directions Write a Review

NPPES record last updated: March 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2023, Aug 2, 2022, Jun 16, 2018 and 3 more (6 updates tracked since 2017).

About Med Sports Vantage Pllc NPPES

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

MED SPORTS VANTAGE PLLC (NPI 1326587114) is a healthcare organization registered as a primary care in Brighton, Michigan and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Rachel Lethorn, Ceo / Owner, as its authorized official.

NPPES Registry Identity

NPI1326587114
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMED SPORTS VANTAGE PLLC
Location Address210 S EAST ST STE 2Brighton, MI 48116-1592
Mailing Address210 S East St Ste 2Brighton, MI 48116-1592 · (810) 626-3036 · Fax (810) 202-1130
Phone(810) 626-3036
Fax(810) 202-1130
Organization SubpartNo
Authorized OfficialRachel LethornCeo / Owner · (810) 626-3036
Enumeration DateFebruary 14, 2017
Last NPPES UpdateMarch 25, 20236 updates tracked since enumeration
NPPES CertifiedMarch 25, 2023
✔ NPI 1326587114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 5601003608 (MI)
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License 5601003608 (MI)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601003608 (MI)
210 S EAST ST STE 2, Brighton, MI 48116
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Other Names 2

Doing Business AsMed Sports Vantage Pllc
Doing Business AsMed Sports Vantage

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 23D2135943

Med Sports Vantage, PLLC · Brighton, MI
Active · expires Aug 29, 2027
CLIA Number23D2135943
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorRachel D. Lethorn
Laboratory Phone(810) 626-3036
Laboratory LocationMed Sports Vantage, PLLC210 S East Street Suite 2, Brighton, MI 48116
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 Med Sports Vantage PLLC's NPI number?

The NPI number for Med Sports Vantage PLLC is 1326587114. It was assigned to this organization in the NPPES registry on February 14, 2017. The provider is doing business as Med Sports Vantage.

Where is Med Sports Vantage PLLC located?

Med Sports Vantage PLLC is located at 210 S East St Ste 2, Brighton, MI 48116. The listed phone number is (810) 626-3036.

What is Med Sports Vantage PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Med Sports Vantage PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2135943) is associated with this NPI, valid through August 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Med Sports Vantage PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Med Sports Vantage PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Med Sports Vantage PLLC was last updated on March 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.