MYMICHIGAN MEDICAL GROUP
NPI 1376986489
Clinic/Center - Radiology in West Branch, MI
NPI Status: Active since April 09, 2013
Contact Information
640 COURT ST
WEST BRANCH, MI
ZIP 48661
Phone: (989) 345-8120
- Organization
- Clinic/Center
- Radiology
- CLIA Number: 23D2308805
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 08-04-2026
About MYMICHIGAN MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Mymichigan Medical Group, a provider established in West Branch, Michigan operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1376986489 assigned on April 2013. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated January 2026. The authorized official of this NPI record is Sarah James (Manager, Provider Enrollment)
- NPI
- 1376986489
- Provider Name
- MYMICHIGAN MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 640 COURT ST WEST BRANCH, MI 48661
- Location Phone
- (989) 345-8120
- Mailing Address
- 4000 WELLNESS DR MIDLAND, MI 48670
- Mailing Phone
- (844) 832-1956
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-09-2013
- Last Update Date
- 01-15-2026
- Code Navigator
Location Map
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 Radiology
- Taxonomy Code
- 261QR0200X
- Type
- Ambulatory Health Care Facilities
- License State
- MI
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
- 23D2308805
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- August 05, 2024
- Certificate Expiration Date
- August 04, 2026
- Laboratory Director
- JAMES SHEPICH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mymichigan Medical Group 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 1376986489, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376986489, enumerated as an "organization" on April 09, 2013.
The provider is located at 640 COURT ST WEST BRANCH, MI 48661 and the phone number is (989) 345-8120.
Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.
