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MICHIGAN SPECIALTY SURGERY CENTER, LLC
NPI 1558072629
Clinic/Center - Ambulatory Surgical in Clarkston, MI

Active since December 09, 2022CLIA 23D2274954 · Waiver
6886 SASHABAW ROAD, CLARKSTON, MI 48348(248) 707-3112(248) 707-3113 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 1, 2023, Jul 28, 2023, Dec 9, 2022 (3 updates tracked since 2022).

About Michigan Specialty Surgery Center, Llc NPPES

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

MICHIGAN SPECIALTY SURGERY CENTER, LLC (NPI 1558072629) is a healthcare organization registered as an ambulatory surgical in Clarkston, Michigan and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Amir-kianoosh Fallahi, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1558072629
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMICHIGAN SPECIALTY SURGERY CENTER, LLC
Location Address6886 SASHABAW ROADClarkston, MI 48348-4732
Mailing Address6886 Sashabaw RoadClarkston, MI 48348-4732 · (248) 707-3112 · Fax (248) 707-3113
Phone(248) 707-3112
Fax(248) 707-3113
Organization SubpartNo
Authorized OfficialAmir-kianoosh FallahiMedical Director · (810) 953-0500
Enumeration DateDecember 9, 2022
Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1558072629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6886 SASHABAW ROAD, Clarkston, MI 48348
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 23D2274954

Michigan Specialty Surgery Center, LLC · Clarkston, MI
Active · expires Jan 11, 2027
CLIA Number23D2274954
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorAmir Kianoosh M. Fallahi
Laboratory Phone(248) 707-3112
Laboratory LocationMichigan Specialty Surgery Center, LLC6886 Sashabaw Road, Clarkston, MI 48348
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
36 services35 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
21 services21 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
21 services21 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
18 services18 patients
Removal of extensive shoulder joint tissue using an endoscope 29823
This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.
16 services16 patients
Anchoring of biceps tendon 23430
Anchoring of the biceps tendon is a surgical procedure aimed at restoring stability to your arm. The surgeon secures your biceps tendon to the bone using special anchors, which helps to reduce pain and improve arm function.
15 services15 patients

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 Michigan Specialty Surgery Center, LLC's NPI number?

The NPI number for Michigan Specialty Surgery Center, LLC is 1558072629. It was assigned to this organization in the NPPES registry on December 9, 2022.

Where is Michigan Specialty Surgery Center, LLC located?

Michigan Specialty Surgery Center, LLC is located at 6886 Sashabaw Road, Clarkston, MI 48348. The listed phone number is (248) 707-3112.

What is Michigan Specialty Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Michigan Specialty Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2274954) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michigan Specialty Surgery Center, LLC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Michigan Specialty Surgery Center, LLC 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 Michigan Specialty Surgery Center, LLC was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.