GREAT LAKES MEDICAL EQUIPMENT GROUP
NPI 1679973408
Durable Medical Equipment & Medical Supplies in Bridgeport, MI
NPI Status: Active since August 29, 2014
Contact Information
6940 DIXIE HWY
BRIDGEPORT, MI
ZIP 48722
Phone: (989) 892-7722
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 23D0997597
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 03-20-2026
About GREAT LAKES MEDICAL EQUIPMENT GROUP
This page provides the complete NPI Profile along with additional information for Great Lakes Medical Equipment Group, a provider established in Bridgeport, Michigan operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1679973408 assigned on August 2014. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Sehrish Khurram (Sole Member)
- NPI
- 1679973408
- Provider Name
- GREAT LAKES MEDICAL EQUIPMENT GROUP
- Entity Type
- Organization
- Location Address
- 6940 DIXIE HWY BRIDGEPORT, MI 48722
- Location Phone
- (989) 892-7722
- Mailing Address
- 6940 DIXIE HWY BRIDGEPORT, MI 48722
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-29-2014
- Last Update Date
- 08-29-2014
- 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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License State
- MI
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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
- 23D0997597
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- March 21, 2024
- Certificate Expiration Date
- March 20, 2026
- Laboratory Director
- BRENDA W. COUGHLIN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Great Lakes Medical Equipment Group 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 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 1679973408, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
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 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679973408, enumerated as an "organization" on August 29, 2014.
The provider is located at 6940 DIXIE HWY BRIDGEPORT, MI 48722 and the phone number is (989) 892-7722.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
