MICHIGAN ENDOSCOPY CENTER LLC
NPI 1629075106
Clinic/Center - Ambulatory Surgical in Farmington Hills, MI

Q: What is Michigan Endoscopy Center LLC's NPI number?

The NPI number for Michigan Endoscopy Center LLC is 1629075106. It was assigned to this organization in the NPPES registry on June 30, 2005.

Q: What is Michigan Endoscopy Center LLC's specialty?

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

Active since June 30, 2005CLIA Certified · 2 labs

30055 NORTHWESTERN HWY, SUITE L-60, FARMINGTON HILLS, MI 48334(248) 865-6555(248) 865-6554 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2025, Apr 22, 2020 (2 updates tracked since 2020).

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About Michigan Endoscopy Center Llc NPPES

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

MICHIGAN ENDOSCOPY CENTER LLC (NPI 1629075106) is a healthcare organization registered as an ambulatory surgical in Farmington Hills, Michigan and active in the NPI registry since June 2005. The organization holds 2 active CLIA laboratory certificates and lists Cristin Trahey, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629075106

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameMICHIGAN ENDOSCOPY CENTER LLC

Location Address30055 NORTHWESTERN HWY, SUITE L-60Farmington Hills, MI 48334-3230

Mailing Address30055 Northwestern Hwy Ste L-60Farmington Hills, MI 48334-3274 · (248) 865-6555 · Fax (248) 865-6554

Phone(248) 865-6555

Fax(248) 865-6554

Organization SubpartNo

Authorized OfficialCristin TraheyAdministrator · (248) 865-6555

Enumeration DateJune 30, 2005

Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration

NPPES CertifiedNovember 4, 2025

✔ NPI 1629075106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

30055 NORTHWESTERN HWY, Farmington Hills, MI 48334

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Other Identifiers 6

Other23-C0001045Medicare Asc Number

Other23D1006055Clia Certificate

Other23389Aaahc Accreditation

Other40373MI · Bcbsmi

Other010473MI · Certificate Of Need

Other636910MI · State Licenese

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 23D1006055

Michigan Endoscopy Center, LLC · Farmington Hills, MI

Active · expires Nov 5, 2026

CLIA Number23D1006055

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateNovember 6, 2024

Certificate Expiration DateNovember 5, 2026

Laboratory DirectorSami Akkary

Laboratory Phone(877) 442-3687

Laboratory LocationMichigan Endoscopy Center, LLC30055 Northwestern Highway, Suite L60, Farmington Hills, MI 48334

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2067097

Michigan Endoscopy Center At Providence Park · Novi, MI

Active · expires Oct 8, 2027

CLIA Number23D2067097

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 9, 2025

Certificate Expiration DateOctober 8, 2027

Laboratory DirectorMark S. Devore

Laboratory Phone(248) 865-6555

Laboratory LocationMichigan Endoscopy Center At Providence Park47601 Grand River Ave, Ste D-110, Novi, MI 48374

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

670 services669 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

604 services591 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

566 services565 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

350 services350 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

134 services134 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

106 services105 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

89 services88 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

47 services46 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

22 services19 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

22 services22 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

22 services22 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

16 services15 patients

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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.

DR. ROBERTO MAURO GAMARRA M.D.

Internal Medicine (Gastroenterology)

30055 NORTHWESTERN HWY, SUITE 250
FARMINGTON HILLS, MI 48334

Oakland County (248) 985-5000

DR. MEGHAN ANNE GRIFFIN D.O.

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)

30055 NORTHWESTERN HWY, SUITE 235
FARMINGTON HILLS, MI 48334

Oakland County (248) 737-4600

EUGENE K HERMAN MD. PLC

Internal Medicine

30055 NORTHWESTERN HWY, STE. 160
FARMINGTON HILLS, MI 48334

Oakland County (248) 865-4160

PAULETTE G MCDONALD M.A., CCC-A

Audiologist-Hearing Aid Fitter

30055 NORTHWESTERN HWY, SUITE 101
FARMINGTON HILLS, MI 48334

Oakland County (248) 865-4444

MS. CATHY FAYE GRECH NURSE PRACTITIONER

Nurse Practitioner (Acute Care)

30055 NORTHWESTERN HWY, SUITE 220
FARMINGTON HILLS, MI 48334

Oakland County (248) 865-9898

MRS. SONIA LOUSIA QATSHA PA-C

Physician Assistant

30055 NORTHWESTERN HWY, SUITE #250
FARMINGTON HILLS, MI 48334

Oakland County (248) 985-5000

NORTHWESTERN SERVICES, LLC

Anesthesiology

30055 NORTHWESTERN HWY, SUITE L60
FARMINGTON HILLS, MI 48334

Oakland County (248) 865-6555

ERIC LERMAN, MD PLC

Internal Medicine

30055 NORTHWESTERN HWY, SUITE 160
FARMINGTON HILLS, MI 48334

Oakland County (248) 865-4160

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 Endoscopy Center LLC's NPI number?

The NPI number for Michigan Endoscopy Center LLC is 1629075106. It was assigned to this organization in the NPPES registry on June 30, 2005.

Where is Michigan Endoscopy Center LLC located?

Michigan Endoscopy Center LLC is located at 30055 Northwestern Hwy Suite L-60, Farmington Hills, MI 48334. The listed phone number is (248) 865-6555.

What is Michigan Endoscopy Center LLC's specialty?

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

Does Michigan Endoscopy Center LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Michigan Endoscopy Center LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Michigan Endoscopy 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 Endoscopy Center LLC was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.