SUBURBAN OCCUPATIONAL HEALTH
NPI 1366988438
Clinic/Center - Occupational Medicine in Romulus, MI

NPI Status: Active since January 13, 2017

Contact Information

29750 ECORSE RD
ROMULUS, MI
ZIP 48174
Phone: (734) 728-4445
Fax: (734) 728-4442

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  • Organization
  • Clinic/Center
  • Occupational Medicine
  • CLIA Number: 23D2107213
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 01-07-2026

About SUBURBAN OCCUPATIONAL HEALTH

This page provides the complete NPI Profile along with additional information for Suburban Occupational Health, a provider established in Romulus, Michigan operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1366988438 assigned on January 2017. The practitioner's primary taxonomy code is 261QX0100X with license number 1962523308 (MI). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is James Siskosky D.o (Cfo)

NPI
1366988438
Provider Name
SUBURBAN OCCUPATIONAL HEALTH
Entity Type
Organization
Location Address
29750 ECORSE RD ROMULUS, MI 48174
Location Phone
(734) 728-4445
Location Fax
(734) 728-4442
Mailing Address
29750 ECORSE RD ROMULUS, MI 48174
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-13-2017
Last Update Date
01-13-2017
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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 Occupational Medicine

Taxonomy Code
261QX0100X
Type
Ambulatory Health Care Facilities
License No.
1962523308
License State
MI

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QX0100XAmbulatory Health Care Facilities

Clinic/Center
Occupational Medicine

1841318029 (MI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JAMES SISKOSKY D.O

Authorized Official Title
CFO
Authorized Official Phone
(734) 728-4445

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1841318029OTHER (01)MINPI
1962523308OTHER (01)MINPI
1508913047OTHER (01)MINPI

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
23D2107213
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
January 08, 2024
Certificate Expiration Date
January 07, 2026
Laboratory Director
ALI HASSAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Suburban Occupational Health 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 1366988438, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
8
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 9 → 18 → 9 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 1 + 8 + 8 + 1 + 6 + 4 + 6 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1366988438.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Preventive Medicine (Occupational Medicine)
29750 ECORSE RD
ROMULUS, MI 48174
Physical Therapist
29750 ECORSE RD
ROMULUS, MI 48174
Clinic/Center (Urgent Care)
29750 ECORSE RD
ROMULUS, MI 48174

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366988438, enumerated as an "organization" on January 13, 2017.

The provider is located at 29750 ECORSE RD ROMULUS, MI 48174 and the phone number is (734) 728-4445.

Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.