MCLAREN MACOMB
NPI 1457303810
Family Medicine in Clinton Township, MI

Active since May 16, 2006CLIA 23D0912329 · Waiver
43900 GARFIELD RD, STE. 121, CLINTON TOWNSHIP, MI 48038(586) 228-3880(586) 228-7351 Get Directions Write a Review

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

About Mclaren Macomb NPPES

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

MCLAREN MACOMB (NPI 1457303810) 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 February 29, 2028 and lists Thomas M Brisse, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457303810
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMCLAREN MACOMB
Location Address43900 GARFIELD RD, STE. 121Clinton Township, MI 48038
Mailing Address43900 Garfield Rd, Ste. 121Clinton Township, MI 48038-1128 · (586) 228-3880 · Fax (586) 228-7351
Fax(586) 228-7351
Organization SubpartNo
Authorized OfficialThomas M BrisseCeo · (586) 493-8083
Enumeration DateMay 16, 2006
Last NPPES UpdateMay 23, 2018
NPI 1457303810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
43900 GARFIELD RD, Clinton Township, MI 48038

Other Identifiers 6

Medicaid4282103MI
Medicaid4414015MI
Medicaid4463913MI
Medicaid4790962MI
Medicaid4343414MI
Medicaid4259179MI

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 23D0912329

Mclaren Macomb · Clinton Township, MI
Active · expires Feb 29, 2028
CLIA Number23D0912329
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorMarissa Catalan
Laboratory Phone(586) 493-3732
Laboratory LocationMclaren Macomb22500 Metropolitan Parkway Suite 201, Clinton Township, MI 48038
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Dermatology (Dermatopathology)
43900 GARFIELD RD, SUITE 100
CLINTON TOWNSHIP, MI 48038
Radiology (Diagnostic Radiology)
43900 GARFIELD RD, SUITE 202
CLINTON TOWNSHIP, MI 48038
Counselor (Mental Health)
43900 GARFIELD RD
CLINTON TOWNSHIP, MI 48038
Social Worker
43900 GARFIELD RD, SUITE 222
CLINTON TOWNSHIP, MI 48038
Family Medicine
43900 GARFIELD RD, STE 121
CLINTON TWP, MI 48038
Dermatology
43900 GARFIELD RD, STE 100
CLINTON TOWNSHIP, MI 48038
Pediatrics
43900 GARFIELD RD, STE. 205
CLINTON TOWNSHIP, MI 48038
Dermatology
43900 GARFIELD RD, STE 100
CLINTON TOWNSHIP, MI 48038

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 1457303810. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Mclaren Macomb located?

Mclaren Macomb is located at 43900 Garfield Rd Ste. 121, Clinton Township, MI 48038. The listed phone number is (586) 228-3880.

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 23D0912329) is associated with this NPI, valid through February 29, 2028. 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.