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FENTON CLINIC
NPI 1699949610
Clinic/Center - Primary Care in Fenton, MI

Active since April 22, 2008CLIA 23D0372896 · Waiver
201 E CAROLINE ST, 129, FENTON, MI 48430(810) 629-4187(810) 629-9662 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fenton Clinic NPPES

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

FENTON CLINIC (NPI 1699949610) is a healthcare organization registered as a primary care in Fenton, Michigan and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through July 11, 2027 and lists Joseph Lavern Trollman, Owner, as its authorized official.

NPPES Registry Identity

NPI1699949610
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFENTON CLINIC
Location Address201 E CAROLINE ST, 129Fenton, MI 48430-2105
Mailing Address201 E Caroline St, 129Fenton, MI 48430-2105 · (810) 629-4187 · Fax (810) 629-9662
Phone(810) 629-4187
Fax(810) 629-9662
Organization SubpartNo
Authorized OfficialJoseph Lavern TrollmanOwner · (810) 629-4187
Enumeration DateApril 22, 2008
✔ NPI 1699949610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MI · 51010055954
201 E CAROLINE ST, Fenton, MI 48430
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN5252458MI
Medicare UPINE26199MI
Medicaid1001880MI
Other0152524585MI · Mr Bc Ppom

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 23D0372896

Fenton Clinic · Fenton, MI
Active · expires Jul 11, 2027
CLIA Number23D0372896
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorJoseph L. Trollman
Laboratory Phone(810) 629-4187
Laboratory LocationFenton Clinic201 E Caroline Street, Fenton, MI 48430
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MR. JOSEPH LAVERN TROLLMAN JR. DO
Family Medicine
201 E CAROLINE ST
FENTON, MI 48430
Genesee County (810) 629-4187

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 Fenton Clinic's NPI number?

The NPI number for Fenton Clinic is 1699949610. It was assigned to this organization in the NPPES registry on April 22, 2008.

Where is Fenton Clinic located?

Fenton Clinic is located at 201 E Caroline St 129, Fenton, MI 48430. The listed phone number is (810) 629-4187.

What is Fenton Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Fenton Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0372896) is associated with this NPI, valid through July 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fenton Clinic was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.