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MCLAREN MACOMB
NPI 1356394571
Family Medicine in Clinton Township, MI

Active since May 18, 2006CLIA 23D0676632 · Waiver
36500 S GRATIOT AVE, STE. 202, CLINTON TOWNSHIP, MI 48035(586) 493-3727(586) 493-3720 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mclaren Macomb NPPES

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

MCLAREN MACOMB (NPI 1356394571) is a healthcare organization registered as a family medicine in Clinton Township, Michigan and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Thomas M Brisse, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356394571
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMCLAREN MACOMB
Location Address36500 S GRATIOT AVE, STE. 202Clinton Township, MI 48035
Mailing Address36500 S Gratiot Ave, Ste. 202Clinton Township, MI 48035-1772 · (586) 493-3727 · Fax (586) 493-3720
Phone(586) 493-3727
Fax(586) 493-3720
Organization SubpartNo
Authorized OfficialThomas M BrisseCeo · (586) 493-8083
Enumeration DateMay 18, 2006
Last NPPES UpdateMay 23, 2018
✔ NPI 1356394571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101010690
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
36500 S GRATIOT AVE, Clinton Township, MI 48035
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Other Identifiers 1

Medicaid4468240MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 23D0676632

Mclaren Macomb Family First Clinic · Clinton Township, MI
Active · expires Jul 31, 2027
CLIA Number23D0676632
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorRichard J. Chalmers
Laboratory Phone(586) 493-3727
Laboratory LocationMclaren Macomb Family First Clinic36500 S Gratiot Avenue Suite 202, Clinton Township, MI 48035
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCG PROFESSIONAL BILLING L.L.C.
Obstetrics & Gynecology
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 493-3740
MCLAREN MACOMB
Surgery
36500 S GRATIOT AVE, SUITE 102
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 790-9003
MCLAREN MACOMB
Internal Medicine
36500 S GRATIOT AVE, SUITE 102
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 790-9003
MCLAREN MACOMB
Internal Medicine
36500 S GRATIOT AVE, STE. 102
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 790-9003
SHANNON N MCMANN DO
Internal Medicine
36500 S GRATIOT AVE, STE 102
CLINTON TWP, MI 48035
Macomb County (586) 790-9003
MCLAREN MACOMB
Neuromusculoskeletal Medicine & OMM
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 493-3727
MCLAREN MACOMB
Orthopaedic Surgery
36500 S GRATIOT AVE, SUITE 102
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 790-9003
DR. RICHARD JORDAN CHALMERS D.O.
Family Medicine
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 493-3727

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 Mclaren Macomb's NPI number?

The NPI number for Mclaren Macomb is 1356394571. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Mclaren Macomb located?

Mclaren Macomb is located at 36500 S Gratiot Ave Ste. 202, Clinton Township, MI 48035. The listed phone number is (586) 493-3727.

What is Mclaren Macomb's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mclaren Macomb hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0676632) is associated with this NPI, valid through July 31, 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 Mclaren Macomb was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.