LIVONIA SURGERY CENTER LLC
NPI 1609522028
Clinic/Center - Ambulatory Surgical in Livonia, MI

NPI Status: Active since February 24, 2022

Contact Information

39000 7 MILE RD STE 1500
STE 1500
LIVONIA, MI
ZIP 48152
Phone: (734) 418-4888

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 23D0669667
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-31-2025

About LIVONIA SURGERY CENTER LLC

This page provides the complete NPI Profile along with additional information for Livonia Surgery Center Llc, a provider established in Livonia, Michigan operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1609522028 assigned on February 2022. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated May 2025. The authorized official of this NPI record is Lynn Cassar (Ao)

NPI
1609522028
Provider Name
LIVONIA SURGERY CENTER LLC
Entity Type
Organization
Location Address
39000 7 MILE RD STE 1500 STE 1500 LIVONIA, MI 48152
Location Phone
(734) 418-4888
Mailing Address
39000 7 MILE RD STE 1500 LIVONIA, MI 48152
Mailing Phone
(734) 418-4888
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-24-2022
Last Update Date
05-07-2025
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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 Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

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

LYNN CASSAR

Authorized Official Title
AO
Authorized Official Phone
(313) 580-9865

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
23D0669667
Facility Type
Physician Office
Certificate Effective Date
November 01, 2023
Certificate Expiration Date
October 31, 2025
Laboratory Director
ANDREW SZCZEMBARA
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Livonia Surgery Center Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609522028
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609102404
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 0 + 2 + 4 + 0 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1609522028 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609522028, enumerated as an "organization" on February 24, 2022.

The provider is located at 39000 7 MILE RD STE 1500 STE 1500 LIVONIA, MI 48152 and the phone number is (734) 418-4888.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.